Individual
REBECCA JEAN PATCHIN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
6276 RIVER CREST DR, RIVERSIDE, CA 92507-0754
(951) 413-0200
(951) 653-5161
Mailing address
18195 KROSS RD, RIVERSIDE, CA 92508-8897
(951) 780-8121
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
G71503
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0086790
—
CA
Enumeration date
03/29/2006
Last updated
07/09/2007
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