MIRJAM RAVNENG

SALT LAKE CITY, UT
NPI1407401425
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
(Licence: UT  11027277-2401)
Enumeration Date2019-08-06
Last Update Date2019-08-06
Business Address
DR. MIRJAM RAVNENG DPT
575 E 4500 S
SALT LAKE CITY, UT 84107-2973
Phone number: 801-266-3939
Mailing Address
DR. MIRJAM RAVNENG DPT
1110 E 200 S APT 1
SALT LAKE CITY, UT 84102-2596
Phone number: