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Search › Utah › 101YM0800X

Shanquette Prophet, CSW

NPI 1750148151 · on the registry since 2024

Practice

Address
5131 S 1500 W
Riverdale, UT 84405
Phone
(706) 305-5439
Organisation at this address
Rooted Pines Pllc
Rejuvenate Mens Health
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
UT
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-03-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah