Individual
LEAH FORSYTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
409 W 400 S, SALT LAKE CITY, UT 84101-1135
(801) 364-0058
Mailing address
755 W 400 N, SALT LAKE CITY, UT 84116-2738
(703) 966-0233
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
12038199-3102
UT
Other
Enumeration date
08/27/2024
Last updated
08/27/2024
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