Individual
NICASSIA OMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 587-3422
Mailing address
3766 S 2000 E, SALT LAKE CITY, UT 84109-3318
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9841757-4102
UT
Other
Enumeration date
11/22/2016
Last updated
12/01/2021
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