Individual
TAKAKO OHASHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4403 HARRISON BLVD STE 3490, OGDEN, UT 84403-3284
(801) 387-2650
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
10415112-4405
UT
Other
Enumeration date
11/17/2021
Last updated
05/25/2022
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