Individual
GRACELYN ESTRADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
955 S 225 E, LAYTON, UT 84041-4169
(385) 239-2472
Mailing address
955 S 225 E, LAYTON, UT 84041-4169
(385) 239-2472
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
10149438-4701
UT
Other
Enumeration date
02/22/2017
Last updated
02/22/2017
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