Individual
KATIE LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11328 SJ GATEWAY, SOUTH JORDAN, UT 84095
(801) 553-2270
Mailing address
3798 W SONNE CT APL L104, HERRIMAN, UT 84096
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
103876171701
UT
Other
Enumeration date
12/10/2021
Last updated
12/10/2021
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