Individual
REBECCA LYNN DEISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
10518 173RD AVE SW, ROCHESTER, WA 98579-8516
(253) 365-1172
Mailing address
10518 173RD AVE SW, ROCHESTER, WA 98579-8516
(253) 365-1172
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN60095386
WA
Other
Enumeration date
06/23/2022
Last updated
06/23/2022
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