Individual
FAYE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 FOOTHILL BLVD, SALT LAKE CITY, UT 84148-0001
(801) 582-1565
Mailing address
13343 LOVERS LN, RIVERTON, UT 84065-6161
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
207510-3102
UT
Other
Enumeration date
06/19/2012
Last updated
06/19/2012
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