Individual
CHRISTINE SPICKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
475 W 260 N, OREM, UT 84057-1970
(801) 221-9930
(801) 221-0649
Mailing address
475 W 260 N, OREM, UT 84057-1970
(801) 221-9930
(801) 221-0649
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1396085718
—
UT
Enumeration date
05/30/2016
Last updated
05/31/2016
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