Individual
SOPHIA GREEN-BASKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
100 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1103
(801) 662-2606
Mailing address
3103 FENTON ST, WHEAT RIDGE, CO 80214-8108
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
—
—
Other
Enumeration date
09/13/2022
Last updated
09/13/2022
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