Individual
REBECCA HUSAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4507 S ENCANTO LN, HOLLADAY, UT 84117-4329
(210) 846-2585
Mailing address
4507 S ENCANTO LN, HOLLADAY, UT 84117-4329
(210) 846-2585
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
11787926-3102
UT
Other
Enumeration date
10/28/2024
Last updated
10/28/2024
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