Individual
MS. CHARLENE DONNE LALUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4547 SAINT ANDREWS DR, SOUTH JORDAN, UT 84095-9755
(801) 615-1598
(801) 282-6026
Mailing address
4547 SAINT ANDREWS DR, SOUTH JORDAN, UT 84095-9755
(801) 615-1598
(801) 282-6026
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
6286115-4701
UT
225700000X
Massage Therapist
MAT-11204
HI
Other
Enumeration date
04/29/2011
Last updated
04/29/2011
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