Individual
ANN FAWCETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
934 S MAIN ST, LAYTON, UT 84041-7135
(801) 336-1836
Mailing address
934 S MAIN ST, LAYTON, UT 84041-7135
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
1796373102
UT
Other
Enumeration date
02/14/2013
Last updated
02/14/2013
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