Individual
KASANDRA LUNDQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1273 W 12600 S STE 403, RIVERTON, UT 84065-7111
(801) 930-0411
Mailing address
1273 W 12600 S STE 403, RIVERTON, UT 84065-7111
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/08/2018
Last updated
05/21/2020
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