Individual
MARTHA PROCTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5942 W 10620 N, HIGHLAND, UT 84003-9591
(801) 616-9617
Mailing address
5942 W 10620 N, HIGHLAND, UT 84003-9591
(801) 616-9617
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/12/2014
Last updated
02/12/2014
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