Individual
MRS. RAELYN HESLOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
389 S 900 E, SALT LAKE CITY, UT 84102-2310
(801) 507-2490
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
13621008-1206
UT
Other
Enumeration date
02/28/2023
Last updated
09/12/2024
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