Individual
MS. REBECCA L.S. WINN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NLMP
Contact information
Practice address
752 S GRAND DR, MOSES LAKE, WA 98837-1836
(509) 771-2700
Mailing address
752 S GRAND DR, P.O. BOX 1986, MOSES LAKE, WA 98837-1836
(509) 771-2700
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00018412
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0143952
DEPARTMENT OF L&I
WA
Enumeration date
04/16/2007
Last updated
07/08/2007
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