Individual
DAYSHA ALAYNE CLUKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
440 S 500 E, SALT LAKE CITY, UT 84102-2705
(801) 359-8862
(801) 359-8510
Mailing address
7559 STAGECOACH DR, PARK CITY, UT 84098-5333
(435) 890-2275
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
11615009-3103
UT
Other
Enumeration date
05/06/2020
Last updated
05/06/2020
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