Individual
SALLY HART NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
150 S 600 E STE 2C, SALT LAKE CITY, UT 84102-2098
(435) 764-2956
Mailing address
6480 S 2800 E, UINTAH, UT 84403-5491
(801) 621-4844
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Enumeration date
09/21/2016
Last updated
09/21/2016
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