Individual
MICHELLE ALEXANDRIA HAUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10 S 2000 E, SALT LAKE CITY, UT 84112-5880
(813) 380-9397
Mailing address
1016 W FOX HOLLOW DR, NORTH SALT LAKE, UT 84054-6008
(813) 380-9397
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
14190512-3102
UT
Other
Enumeration date
10/21/2025
Last updated
10/21/2025
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