Individual
TANIA CASTRELLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4745 S 3200 W, TAYLORSVILLE, UT 84129-2822
(801) 964-6214
(801) 982-9232
Mailing address
4745 S 3200 W, TAYLORSVILLE, UT 84129-2822
(801) 964-6214
(801) 982-9232
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9293128-3102
UT
Other
Enumeration date
07/07/2015
Last updated
07/07/2015
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