Individual
KRISTEN SOBOTKA HAUSSKUPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6056 S FASHION SQUARE DR STE 1000, MURRAY, UT 84107-5410
(801) 213-8650
Mailing address
3146 E DELSA DR, HOLLADAY, UT 84124-2132
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7150373-1701
UT
Other
Enumeration date
09/06/2019
Last updated
09/06/2019
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