Individual
MS. REBEKAH MICHELLE HOSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3650 N UNIVERSITY AVE, #200, PROVO, UT 84604-6656
(801) 375-7100
Mailing address
45 E 400 S APT 5, PROVO, UT 84606-4675
(805) 637-5992
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
9847199-1206
UT
Other
Enumeration date
08/02/2016
Last updated
09/16/2019
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