Individual
MRS. LINDA R. CUSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
F.N.P
Contact information
Practice address
1110 W 3300 S, SALT LAKE CITY, UT 84119-3330
(801) 433-2900
Mailing address
1110 W 3300 S, SALT LAKE CITY, UT 84119-3330
(801) 433-2900
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1763398900
UT
Other
Enumeration date
01/27/2010
Last updated
01/27/2010
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