Individual
VICTORIA NIELSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2028 W 2220 N, CLINTON, UT 84015-5744
(801) 779-0708
Mailing address
4934 S PLYMOUTH VIEW DR, TAYLORSVILLE, UT 84123-4204
(801) 608-1618
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
11789946-9934
UT
Other
Enumeration date
06/15/2020
Last updated
11/18/2021
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