Individual
MS. KIM DAWN SANDROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7906 S 965 E, SANDY, UT 84094-0218
(385) 214-9759
Mailing address
7906 S 965 E, SANDY, UT 84094-0218
(385) 214-9759
Taxonomy
Speciality
Code
Description
License number
State
163WX0106X
Occupational Health Registered Nurse
Primary
4926588-3102
UT
Other
Enumeration date
12/01/2017
Last updated
12/01/2017
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