Individual
MRS. SUZANNE L K RIDDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
443 S 600 E, SALT LAKE CITY, UT 84102-2708
(801) 538-2057
Mailing address
443 S 600 E, SALT LAKE CITY, UT 84102-2708
(801) 538-2057
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
3090203102
UT
Other
Enumeration date
02/13/2006
Last updated
05/13/2008
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