Individual
MRS. JODIE ANN MCALLISTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3203 S 2300 E, SALT LAKE CITY, UT 84109-2703
(801) 485-5820
Mailing address
3203 S 2300 E, SALT LAKE CITY, UT 84109-2703
(801) 485-5820
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
19242
UT
Other
Enumeration date
01/21/2008
Last updated
01/21/2008
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