Individual
CORRINE RANAE BATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
4643 S 4000 W, WEST VALLEY CITY, UT 84120-6233
(801) 968-1896
(801) 965-0488
Mailing address
4643 S 4000 W, WEST VALLEY CITY, UT 84120-6233
(801) 968-1896
(801) 965-0488
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
271020-1701
UT
Other
Enumeration date
09/29/2019
Last updated
09/29/2019
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