Individual
FAITH DANIELLE VON DWINGELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1561 W 7000 S STE 200, WEST JORDAN, UT 84084-3556
(801) 990-4300
(801) 967-2127
Mailing address
PO BOX 330, MAGNA, UT 84044-0330
(801) 990-4300
(801) 967-2127
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/19/2022
Last updated
12/19/2022
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