Individual
NICKLAUS LYNN PARASO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 884-3192
Mailing address
2491 W 7420 S, WEST JORDAN, UT 84084-3136
(801) 455-7344
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
10512902-3102
UT
Other
Enumeration date
02/23/2021
Last updated
02/23/2021
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