Individual
BROOKE RICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2557 LINCOLN AVE, OGDEN, UT 84401-1307
(801) 622-5272
Mailing address
2557 LINCOLN AVE, OGDEN, UT 84401-1307
(801) 622-5272
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
12288280-3101
UT
Other
Enumeration date
08/12/2021
Last updated
08/12/2021
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