Individual
MRS. MELANIE S LIVINGSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
1134 N 500 W, PROVO, UT 84604-3383
(801) 357-7193
Mailing address
PO BOX 30180, SALT LAKE CITY, UT 84130-0180
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
7968576-3102
UT
Other
Enumeration date
10/10/2014
Last updated
10/10/2014
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