Individual
SARA A SUPINSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.A.C.
Contact information
Practice address
34 500 E, SUITE 202, SALT LAKE CITY, UT 84102
(801) 582-2011
Mailing address
58 W QUAYLE AVE, SOUTH SALT LAKE, UT 84115-1975
(719) 660-6526
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
11269775-1201
UT
Other
Enumeration date
11/15/2012
Last updated
06/17/2020
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