Individual
SUZETTE KOZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
60 S MAIN ST STE B0001, BRIGHAM CITY, UT 84302-6795
(435) 239-8768
Mailing address
60 S MAIN ST STE B0001, BRIGHAM CITY, UT 84302-6795
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
06/03/2022
Last updated
06/03/2022
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