Individual
PATTI KIYOMI IWAMOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-A
Contact information
Practice address
9071 SOUTH1300 WEST, SUITE 100, WEST JORDAN, UT 84088
(866) 581-9462
Mailing address
PO BOX 520223, SALT LAKE CITY, UT 84152-0223
(866) 581-9462
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1132224101
UT
Other
Enumeration date
04/02/2007
Last updated
08/14/2015
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