Individual
MAKAYLA NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5126 W DAYBREAK PKWY, SOUTH JORDAN, UT 84009-5994
(801) 213-5200
Mailing address
638 W 7250 S, MIDVALE, UT 84047-1060
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
9848763-1109
UT
Other
Enumeration date
03/27/2019
Last updated
03/27/2019
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