Individual
RACHEL GRACE BOMBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
971 E WICHITA AVE, RUSSELL, KS 67665-2444
(785) 377-4744
Mailing address
1708 SUNSET TRL APT A, HAYS, KS 67601-2975
(785) 656-1277
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/14/2022
Last updated
06/14/2022
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