Individual
KARLIE PORTER MASAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
10 S 2000 E, SALT LAKE CITY, UT 84112-5880
(801) 581-4014
Mailing address
10 S 2000 E, SALT LAKE CITY, UT 84112-5880
(801) 581-4014
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
9142217
UT
Other
Enumeration date
07/16/2019
Last updated
10/19/2022
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