Rebecca Charlene Willis

NPI #1649789025 in Fort Washakie, Wyoming

Provider Information

NPI Number: 1649789025
Entity Type: Individual
Name: Rebecca Charlene Willis
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: Sep 28, 2017
Last Updated: Jun 16, 2018

Practice Location

Address: FORT WASHAKIE HEALT CENTER LAB IHS 29 BLACK COAL DRIVE
City: Fort Washakie
State: Wyoming
ZIP Code: 82514
Phone: (307) 332-7672

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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