Individual
ALICIA VIGIL-RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SPT
Contact information
Practice address
3838 TUSCALOOSA WAY, WEST JORDAN, UT 84084-1429
(928) 607-4122
Mailing address
3838 TUSCALOOSA WAY, WEST JORDAN, UT 84084-1429
(928) 607-4122
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7766767-4102
UT
Other
Enumeration date
11/09/2006
Last updated
12/13/2010
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