NPI 1649789025
Rebecca Charlene Willis
Practice location
- Address
- Fort Washakie Healt Center Lab Ihs 29 Black Coal Drive, Fort Washakie, WY 82514
- Phone
- (307) 332-7672
- Mailing address
- 811 E Adams Ave APT 5, Riverton, WY 82501-4755
Registered specialties
Other Technician
Primary
Registry record
- NPI
- 1649789025
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 28 Sep 2017
- Record last updated
- 16 Jun 2018
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.