Individual
SHALEE JO FACKRELL-SPEREDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
345 W 600 S STE 103, HEBER CITY, UT 84032-2282
(435) 850-7402
Mailing address
928 E 2810 S, HEBER CITY, UT 84032-1224
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/21/2022
Last updated
01/21/2022
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