Individual
REBECCA LYNN BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
840 STATE ROAD 136, BARABOO, WI 53913-9233
(608) 477-9858
Mailing address
417 HITCHCOCK ST, BARABOO, WI 53913-2876
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
10/24/2017
Last updated
10/24/2017
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