Individual
GINA SISK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10894 S RIVER FRONT PKWY, SOUTH JORDAN, UT 84095-5609
(801) 302-2600
Mailing address
7737 W KEN CARYL PL, LITTLETON, CO 80128-4847
(719) 291-1219
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/29/2025
Last updated
04/29/2025
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