Individual
MRS. CARINE LORENE WALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10652 LOGAN CANYON RD, SOUTH JORDAN, UT 84095-3336
(801) 253-6468
Mailing address
10652 LOGAN CANYON RD, SOUTH JORDAN, UT 84095-3336
(801) 253-6468
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
5972771-3102
UT
Other
Enumeration date
02/19/2008
Last updated
02/19/2008
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