Individual
HANNAH M PAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
449 E 2100 S, SALT LAKE CITY, UT 84115-2237
(801) 872-4656
Mailing address
449 E 2100 S, SALT LAKE CITY, UT 84115-2237
(801) 872-4656
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
12269304-3101
UT
Other
Enumeration date
09/16/2021
Last updated
09/16/2021
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