Individual
HAILEY RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30 N 1900 E # 3B400, SALT LAKE CITY, UT 84132-0002
(801) 581-4322
Mailing address
30 N 1900 E # 3B400, SALT LAKE CITY, UT 84132-0002
(801) 581-4322
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
502215-1109
UT
Other
Enumeration date
04/19/2012
Last updated
04/19/2012
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