Individual
MS. MICHELLE LEE TEACHOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2957 S 400 W, BOUNTIFUL, UT 84010-7810
(801) 856-0353
Mailing address
2957 S 400 W, BOUNTIFUL, UT 84010-7810
(801) 856-0353
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/21/2017
Last updated
01/21/2017
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