Individual
REBECCA KENDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
330 E 400 S, 2, SPRINGVILLE, UT 84663-2052
(801) 834-1025
Mailing address
PO BOX 352, MORONI, UT 84646-0352
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
05/25/2016
Last updated
05/25/2016
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