Individual
NOELLE FAITH WHITAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
75 E 300 N, FARMINGTON, UT 84025-3512
(801) 953-8319
Mailing address
75 E 300 N, FARMINGTON, UT 84025-3512
(801) 953-8319
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
12145122-2402
UT
Other
Enumeration date
11/05/2024
Last updated
11/05/2024
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