Individual
VALISA REYNOLDS FACER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA
Contact information
Practice address
4401 HARRISON BLVD, OGDEN, UT 84403-3195
(801) 284-1755
Mailing address
5444 GREEN ST, MURRAY, UT 84123-5632
(801) 284-1755
(801) 262-3897
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
270016-5401
UT
Other
Enumeration date
08/12/2008
Last updated
08/12/2008
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