Individual
KATHLEEN SACKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
527 W 400 N, SUITE 3, OREM, UT 84057-1916
(801) 714-3349
Mailing address
527 W 400 N, SUITE 3, OREM, UT 84057-1916
(801) 714-3349
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
198051-3102
UT
Other
Enumeration date
10/16/2013
Last updated
10/16/2013
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