Individual
MELANIE RUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
277 N SPRING CREEK PKWY, PROVIDENCE, UT 84332-9775
(435) 753-0253
Mailing address
277 N SPRING CREEK PKWY, PROVIDENCE, UT 84332-9775
(435) 753-0253
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/08/2016
Last updated
11/08/2016
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