Individual
REVA BLANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2174 W 325 S, MAPLETON, UT 84664-4320
(801) 615-1421
Mailing address
2174 W 325 S, MAPLETON, UT 84664-4320
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
332005-4405
UT
Other
Enumeration date
04/02/2026
Last updated
04/02/2026
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