Individual
HOLLY POTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
344 E 100 S, STE301, SALT LAKE CITY, UT 84111-1700
(801) 322-4257
Mailing address
157 E HARVARD AVE, SALT LAKE CITY, UT 84111-4506
(801) 532-4634
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
09/28/2015
Last updated
09/28/2015
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