Rebekah Marlene Connelly, LD

NPI #1902625841 in Warrenton, Oregon

Provider Information

NPI Number: 1902625841
Entity Type: Individual
Name: Rebekah Marlene Connelly, LD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Denturist
Credential: LD
Enumeration Date: Oct 8, 2024
Last Updated: Oct 8, 2024

Practice Location

Address: 65 N HIGHWAY 101
City: Warrenton
State: Oregon
ZIP Code: 97146-9371
Phone: (503) 861-8624

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Denturist	122400000X	Primary

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