Most Relevant Information
Provider Data
| NPI Number: | 1003661224 |
| Provider Name: | RHEBA TULLIUS CHW |
| Entity Type: | Individual |
| Taxonomy Code: | 172V00000X |
| Specialty: | Community Health Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/22/2024 |
| Last Updated: | 04/22/2024 |
Provider Practice Location
111 MARKET ST STE 2
WINONA
MN
559875532
Practice Location Phone/Fax
| Phone: | 5078581122 |
| Fax: |
Provider Mailing Location
1764 W 6TH ST APT 102
WINONA
MN
559875808
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |