Individual
KRISTEN DANIELLE LEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SWI
Contact information
Practice address
345 E 4500 S STE 260, MURRAY, UT 84107-3954
(801) 747-3556
Mailing address
2477 E 2100 S, SLC, UT 84109-1352
(717) 269-7043
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/05/2012
Last updated
04/05/2012
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