Individual
RENA J ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
344 E 100 S STE 301, SALT LAKE CITY, UT 84111-1727
(801) 428-3475
Mailing address
2121 S LINCOLN ST, S SALT LAKE, UT 84106-2306
(801) 888-5937
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/09/2018
Last updated
02/09/2018
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