Individual
SUSAN R. NAIDU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
417 WAKARA WAY, SALT LAKE CITY, UT 84108-1436
(801) 581-2121
Mailing address
PO BOX 58896, SALT LAKE CITY, UT 84158-0896
(801) 213-3800
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
5713788-4101
UT
Other
Enumeration date
11/03/2006
Last updated
11/30/2021
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