Individual
JUDITH DIANA KUPFERSCHMID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
344 E 100 S, STE 301, SLC, UT 84111
(801) 322-4257
Mailing address
344 E 100 S, SUITE 301, SALT LAKE CITY, UT 84111-1700
(801) 322-4257
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
5403017-3102
UT
Other
Enumeration date
03/27/2013
Last updated
03/27/2013
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