Individual
MS. REBECCA LYNNE FAHNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH, BS, IBCLC
Contact information
Practice address
13410 CANALVILLE LN, GRASSTON, MN 55030-2162
(651) 894-4391
(320) 629-3366
Mailing address
13410 CANALVILLE LN, GRASSTON, MN 55030-2162
(651) 894-4391
(320) 629-3366
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H5749
MN
174N00000X
Lactation Consultant (Non-RN)
—
MN
Other
Enumeration date
09/25/2007
Last updated
11/21/2012
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