Individual
CAROLEE BOAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
9361 S 300 E, SANDY, UT 84070-2902
(385) 302-0027
Mailing address
9361 S 300 E, SANDY, UT 84070-2902
(385) 302-0027
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
49376163102
UT
Other
Enumeration date
08/04/2023
Last updated
08/04/2023
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