Individual
MRS. REBECCA C ANHOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
VATL, ATC
Contact information
Practice address
195 FORT DEFIANCE RD, FORT DEFIANCE, VA 24437-2001
(540) 245-5050
Mailing address
195 FORT DEFIANCE RD, FORT DEFIANCE, VA 24421
(540) 245-5050
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
J040801501
VA
246Z00000X
Other Specialist/Technologist
Primary
0126000099
VA
Other
Enumeration date
02/07/2012
Last updated
02/07/2012
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