Individual
REBECCA ACKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
105 S 140 W, LINDON, UT 84040
(801) 368-2619
Mailing address
105 S 140 W, LINDON, UT 84042-1968
(801) 785-9712
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4949382-3102
UT
Other
Enumeration date
05/13/2014
Last updated
05/13/2014
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