Individual
EMILY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
867 S 800 W, PLEASANT GROVE, UT 84062-4505
(801) 785-9019
Mailing address
867 S 800 W, PLEASANT GROVE, UT 84062-4505
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
12058009-3102
UT
Other
Enumeration date
12/01/2022
Last updated
12/01/2022
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