Individual
CALEB ADRIAN LADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
577 N 200 W, SALT LAKE CITY, UT 84103-1302
(918) 808-8399
Mailing address
577 N 200 W, SALT LAKE CITY, UT 84103-1302
(918) 808-8399
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/04/2020
Last updated
05/04/2020
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