Rachel Pernick
Student in an Organized Health Care Education/Training Program in Salt Lake City, UT. Individual provider (NPI-1).
NPI number1316629645
StatusActive
Last updated in NPPESAug 4, 2023
Details
- NPI
- 1316629645
- Entity type
- Individual (NPI-1)
- Name
- Rachel Pernick
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 4, 2023
- Certification date
- Aug 4, 2023
- Last updated
- Aug 4, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
27 S Mario Capecchi DrSalt Lake City, UT 84112-5888
Phone 801-581-2711
Mailing address
27 S Mario Capecchi DrSalt Lake City, UT 84112-5888
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