Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | 0102202867 | VA |
NPI | 1003044140 |
---|---|
Provider Name | Rebecca A Rehmann |
First Address | Bristow, VA 20136-2201 |
Second Address | Bristow, VA 20136-2201 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2009 |
Last Update Date | 19/08/2021 |