Individual
DR. STEPHANIE WYNNE MAURENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1170 E GENTILE ST, LAYTON, UT 84040-6802
(801) 546-3497
(801) 544-1440
Mailing address
1170 E GENTILE ST, LAYTON, UT 84040-6802
(801) 546-3497
(801) 544-1440
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5247165
UT
Other
Enumeration date
10/04/2019
Last updated
10/04/2019
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