Most Relevant Information
Provider Data
| NPI Number: | 1003281544 |
| Provider Name: | REBEKAH RARY MT |
| Entity Type: | Individual |
| Taxonomy Code: | 172V00000X |
| Specialty: | Community Health Worker |
| License Number: | MASG-1552 |
Most Important Dates
| Enumeration Date: | 12/09/2015 |
| Last Updated: | 12/09/2015 |
Provider Practice Location
922 E FOLGADO CT
KUNA
ID
836345181
Practice Location Phone/Fax
| Phone: | 2083208438 |
| Fax: |
Provider Mailing Location
922 E FOLGADO CT
KUNA
ID
836345181
Provider Mailing Phone/Fax
| Phone: | 2083208438 |
| Fax: |