Individual
CAROL TACCETTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1277 W 1650 S, CEDAR CITY, UT 84720-8571
(435) 572-0107
Mailing address
1277 W 1650 S, CEDAR CITY, UT 84720-8571
(435) 572-0107
Taxonomy
Speciality
Code
Description
License number
State
207ZC0006X
Clinical Pathology Physician
Primary
036.082011
IL
Other
Enumeration date
02/20/2021
Last updated
04/15/2023
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