Individual
MISS REH LYNN VANATTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 NORTH AVE, GRAND JUNCTION, CO 81501-3122
(970) 248-1635
Mailing address
PO BOX 606, PONCHA SPRINGS, CO 81242-0606
(719) 207-1256
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/03/2015
Last updated
01/03/2015
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