Individual
LILIAM KATHERINE CARDENAS OLARTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3590 W 9000 S STE 240, WEST JORDAN, UT 84088-8864
(801) 508-3140
(801) 208-6374
Mailing address
6802 W VALLEY MAPLE DR, WEST JORDAN, UT 84081-3378
(714) 654-7555
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
13012366-1206
UT
363AM0700X
Medical Physician Assistant
Primary
13012366-1206
UT
Other
Enumeration date
05/04/2021
Last updated
06/21/2023
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