Individual
SUZAN N AWI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
164 E 5900 S STE 101, MURRAY, UT 84107-7256
(801) 261-5790
(801) 261-5794
Mailing address
164 E 5900 S STE 101, MURRAY, UT 84107-7256
(801) 261-5790
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
L2-0011532
DE
Other
Enumeration date
05/12/2023
Last updated
05/12/2023
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