Individual
LETICIA GUADALUPE WINN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
85 E 2000 N, TOOELE, UT 84074-9280
(435) 843-2026
Mailing address
154 W UTAH AVE, TOOELE, UT 84074-1538
(435) 241-8885
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
139260154003
UT
Other
Enumeration date
05/16/2024
Last updated
05/16/2024
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