Individual
MINDY GERRITSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13923 S HAYSTACK PEAK CIR, RIVERTON, UT 84096-6453
(801) 506-6695
Mailing address
649 E 3585 S, SALT LAKE CITY, UT 84106-1149
(801) 641-5154
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
07/14/2016
Last updated
07/14/2016
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