Individual
REBECCA LYNN KNUTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6652 MAPLE ST, OMAHA, NE 68104-3902
(402) 554-8633
Mailing address
6652 MAPLE ST, OMAHA, NE 68104-3902
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
51198
NE
Other
Enumeration date
10/02/2018
Last updated
10/02/2018
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