Individual
MRS. LUANA MAGDALENA NAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
201 S 1460 E RM 426, SALT LAKE CITY, UT 84112-9061
(801) 581-6826
Mailing address
9477 S LENNOX CIR, SOUTH JORDAN, UT 84009-2752
(317) 385-9741
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
11353124-2501
UT
Other
Enumeration date
04/10/2007
Last updated
01/14/2025
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