Individual
RITA STANFORD BAXTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPCI
Contact information
Practice address
1672 W 700 S STE D, SPRINGVILLE, UT 84663-4963
(801) 489-9721
Mailing address
1672 W 700 S STE D, SPRINGVILLE, UT 84663-4963
(801) 489-9721
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
7623854-6009
UT
Other
Enumeration date
11/01/2010
Last updated
11/01/2010
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