Individual
REBEKAH LYDIA FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1426 E HARVARD AVE, SALT LAKE CITY, UT 84105-1918
(970) 749-3449
Mailing address
1426 E HARVARD AVE, SALT LAKE CITY, UT 84105-1918
(970) 749-3449
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/17/2023
Last updated
01/17/2023
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