Individual
CLARE NICOLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
4063 W 12600 S, RIVERTON, UT 84096-7302
(801) 495-4800
Mailing address
4519 S ARCADIA GREEN WAY, MURRAY, UT 84107-4190
(720) 270-6033
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
12324418-4101
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12343318-4101
DOPL
UT
Enumeration date
06/22/2021
Last updated
06/22/2021
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