Individual
GRACE MICHELLE JUDD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5691 S REDWOOD RD UNIT 15, SALT LAKE CITY, UT 84123-5485
(801) 655-5450
Mailing address
1741 E IMPERIAL PARK LN, SALT LAKE CITY, UT 84106-3379
(435) 503-7004
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/26/2023
Last updated
05/26/2023
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