Individual
ASHLEE DAWN DASTRUP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
620 S 400 E, ST GEORGE, UT 84770-3700
(435) 986-2561
Mailing address
620 S 400 E, ST GEORGE, UT 84770-3700
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
10388848-3102
UT
Other
Enumeration date
09/25/2019
Last updated
09/25/2019
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