Individual
KRISTEN HASLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13947 S NEWBURG DR., HERRIMAN, UT 84096
(801) 506-6695
Mailing address
13947 S NEWBURG DR., HERRIMAN, UT 84096
(801) 506-6695
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
—
Other
Enumeration date
04/21/2017
Last updated
04/21/2017
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