Individual
REBECCA SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
164 E 5900 S STE 101, MURRAY, UT 84107-7256
(801) 261-5790
Mailing address
1044 W PARK RESERVE WAY APT 203, MIDVALE, UT 84047-4721
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
5251310
FL
Other
Enumeration date
04/13/2023
Last updated
04/13/2023
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