Individual
TRACY HELLEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
383 COLOROW DR, SALT LAKE CITY, UT 84108-1201
(801) 587-1546
Mailing address
163 HERBERT AVE, SALT LAKE CITY, UT 84111-4510
(801) 587-1546
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
7186966-3102
UT
Other
Enumeration date
02/12/2010
Last updated
02/12/2010
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