Gravenor, Rebecca

Gravenor, Rebecca is an individual health care provider with primary practice located at 8077 Baptist Church Rd , Mardela Springs MD 21837-2421. She recently has only one registered license in Other Service Providers / Lactation Consultant, Non-RN, which is considered as her primary health care specialty. Gravenor, Rebecca can be contacted via phone (443) 523-6373.

Contact Information

Primary practice address
8077 Baptist Church Rd Mardela Springs MD 21837-2421
Phone: (443) 523-6373
Fax: (443) 354-1853
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Lactation Consultant, Non-RN 174N00000X L-134914 Maryland

Profile Details

NPI number 1356976906
LBN Legal business name Gravenor, Rebecca
Credentials IBCLC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 4th, 2020
Last updated May 6th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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