Individual
VICTORIA BAIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9565 S BRANDY CREEK DR, SANDY, UT 84070-3625
(801) 970-2511
Mailing address
9565 S BRANDY CREEK DR, SANDY, UT 84070-3625
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
—
—
Other
Enumeration date
01/09/2015
Last updated
01/09/2015
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