Individual
WENDY SUSAETA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
689 W 6300 S, MURRAY, UT 84123-6846
(801) 450-7122
Mailing address
689 W 6300 S, MURRAY, UT 84123-6846
(801) 450-7122
Taxonomy
Speciality
Code
Description
License number
State
163WI0500X
Infusion Therapy Registered Nurse
Primary
273350-3102
UT
Other
Enumeration date
08/22/2021
Last updated
08/22/2021
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