Individual
MARY LOU REITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
560 D ST, SALT LAKE CITY, UT 84103-2808
(801) 596-7072
Mailing address
560 D ST, SALT LAKE CITY, UT 84103-2808
(801) 596-7072
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1074024101
UT
Other
Enumeration date
08/14/2008
Last updated
08/14/2008
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