Individual
CAITLYN MARIE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5150 S WASHINGTON BLVD, OGDEN, UT 84405-4506
(801) 337-0067
Mailing address
1041 N 400 W, BLANDING, UT 84511-3420
(208) 221-0505
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/05/2013
Last updated
08/05/2013
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