Individual
SARA C MLESO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
836 S ANGEL ST STE 102, LAYTON, UT 84041-3687
(435) 291-1375
Mailing address
6405 S 3000 E STE 300, SALT LAKE CITY, UT 84121-6977
(801) 266-3113
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
8297984-3102
UT
363LF0000X
Family Nurse Practitioner
Primary
8297984-4405
UT
Other
Enumeration date
06/12/2023
Last updated
02/05/2024
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