Individual
REBEKAH LYNN GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSWI
Contact information
Practice address
3002 W 12600 S, RIVERTON, UT 84065-7119
(801) 930-0411
Mailing address
2057 E GLACIER VIEW DR, SANDY, UT 84092-6700
(801) 471-4116
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/13/2023
Last updated
07/13/2023
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