Individual
MIRANDA MARSH WOOTTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8806 S REDWOOD RD STE 102, WEST JORDAN, UT 84088-9335
(801) 747-7500
Mailing address
8806 S REDWOOD RD STE 102, WEST JORDAN, UT 84088-9335
(801) 747-7500
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3605611701
UT
Other
Enumeration date
03/01/2019
Last updated
03/01/2019
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