Individual
SANDI REGRUTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
80 S FAIRGROUNDS RD, PRICE, UT 84501-8450
(435) 636-3737
Mailing address
80 S FAIRGROUNDS RD, PRICE, UT 84501
(435) 636-3737
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
8837397-3502
UT
Other
Enumeration date
02/18/2019
Last updated
02/18/2019
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