Individual
TRACIE K WECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
523 HERITAGE PARK BLVD STE 4, LAYTON, UT 84041-5611
(801) 525-9998
Mailing address
523 HERITAGE PARK BLVD STE 4, LAYTON, UT 84041-5611
(801) 525-9998
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
211810-3102
UT
Other
Enumeration date
06/13/2023
Last updated
06/13/2023
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