Individual
SANDRA LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3740 W MARKET CENTER DR STE 1200, RIVERTON, UT 84065-8026
(801) 240-9436
Mailing address
3740 W MARKET CENTER DR STE 1200, RIVERTON, UT 84065-8026
(801) 240-9436
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
UT
Other
Enumeration date
11/18/2013
Last updated
11/18/2013
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