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Individual

JAMES FREDERICK RENDO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
2750 S 5600 W, SUITE B, WEST VALLEY CITY, UT 84120-1249
(801) 582-1565
(801) 584-1276
Mailing address
2750 S 5600 W, SUITE B, WEST VALLEY CITY, UT 84120-1249
(801) 582-1565
(801) 584-1276

Taxonomy

Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
7946683-3102
UT

Other

Enumeration date
05/24/2012
Last updated
05/24/2012
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