Individual
SARA LEE ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2250 ROBINS DR, LAYTON, UT 84041-1140
(801) 773-7060
(801) 774-6100
Mailing address
418 W CENTER ST, #13, BOUNTIFUL, UT 84010-7059
(801) 298-3239
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
04/23/2007
Last updated
07/08/2007
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