Individual
MRS. LUCINDA RAE HALLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1636 HARVEY RD, FRUIT HEIGHTS, UT 84037-4401
(801) 201-6430
Mailing address
1636 HARVEY RD, FRUIT HEIGHTS, UT 84037-4401
(801) 201-6430
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
223213-4405
UT
Other
Enumeration date
06/11/2021
Last updated
06/11/2021
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