Individual
LAURA MACHELE NIETO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
550 W 700 S, SALT LAKE CITY, UT 84101-2281
(801) 537-7537
Mailing address
550 W 700 S, SALT LAKE CITY, UT 84101-2281
(801) 537-7537
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
UT
Other
Enumeration date
10/09/2018
Last updated
10/09/2018
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