Individual
REBECCA SWANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2593 VALENCIA LOOP APT B, HOLLOMAN AIR FORCE BASE, NM 88330-7479
(901) 351-7736
Mailing address
2593 VALENCIA LOOP APT B, HOLLOMAN AIR FORCE BASE, NM 88330-7479
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/23/2017
Last updated
08/23/2017
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