Individual
TAELY LYN SLONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
934 S MAIN ST, #6, LAYTON, UT 84041-7135
(801) 773-7060
Mailing address
934 S MAIN ST, #6, LAYTON, UT 84041-7135
(801) 773-7060
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
9139286-3101
UT
Other
Enumeration date
03/22/2015
Last updated
03/22/2015
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