Individual
REBECCA ANN GREENSTREET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
344 E 100 S, SALT LAKE CITY, UT 84111-1700
(801) 322-3397
Mailing address
12039 S 700 E, DRAPER, UT 84020-9746
(385) 492-9119
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/23/2020
Last updated
01/23/2020
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