Individual
CAROL RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
820 W 810 S, LEHI, UT 84043-3940
(801) 635-6326
Mailing address
820 W 810 S, LEHI, UT 84043-3940
(801) 635-6326
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
104377-3102
UT
Other
Enumeration date
07/23/2011
Last updated
07/23/2011
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