Individual
MS. TRISHA LYNN BANDEKA-BENNETT
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3944 S 400 E, SALT LAKE CITY, UT 84107-1600
(801) 261-1442
Mailing address
1166 E 500 S, SALT LAKE CITY, UT 84102-3806
(801) 718-1216
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
5683071-3102
UT
Other
Enumeration date
01/06/2006
Last updated
07/08/2007
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