Individual
KECIA MARIE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
152 W 1500 N, NEPHI, UT 84648-5520
(435) 623-3700
(435) 623-3704
Mailing address
152 W 1500 N, NEPHI, UT 84648-5520
(435) 623-3700
(435) 623-3704
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
UT132917-1701
UT
Other
Enumeration date
03/30/2021
Last updated
03/30/2021
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