Individual
ROLANDO REBOIRO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
177 PRICE AVE, SALT LAKE CITY, UT 84115-4345
(385) 468-4527
Mailing address
177 PRICE AVE, SALT LAKE CITY, UT 84115-4345
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7434853-6004
UT
Other
Enumeration date
01/06/2011
Last updated
01/06/2011
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