Individual
NICOLE LUND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2348 KIESEL AVE, OGDEN, UT 84401-1964
(801) 528-5066
Mailing address
4385 S 3500 W, WEST HAVEN, UT 84401-8427
(801) 869-0747
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
128334164701
UT
Other
Enumeration date
09/04/2023
Last updated
09/04/2023
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