Individual
LAUREL HIATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
846 S WASHINGTON ST, SALT LAKE CITY, UT 84101-2946
(404) 580-8808
Mailing address
846 S WASHINGTON ST, SALT LAKE CITY, UT 84101-2946
(404) 580-8808
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
UT
Other
Enumeration date
10/03/2024
Last updated
10/03/2024
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