Individual
REBECCA WOLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1142 W 200 N UNIT A112, CENTERVILLE, UT 84014-3534
(385) 368-5909
Mailing address
1142 W 200 N UNIT A112, CENTERVILLE, UT 84014-3534
(385) 368-5909
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
04/22/2024
Last updated
04/22/2024
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