Individual
KATHERINE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
650 ROUND VALLEY DR, PARK CITY, UT 84060-7571
(435) 333-1505
Mailing address
650 ROUND VALLEY DR, PARK CITY, UT 84060-7571
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
10/07/2021
Last updated
10/07/2021
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