Individual
REBECCA VALLETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5593 S 700 E, SOUTH OGDEN, UT 84405-4705
(801) 725-4583
Mailing address
5593 S 700 E, SOUTH OGDEN, UT 84405-4705
(801) 725-4583
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
—
372600000X
Adult Companion
Primary
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
3747A0650X
Attendant Care Provider
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
09/23/2014
Last updated
09/23/2014
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