Individual
MELISSA WALRED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
344 E 100 S, SALT LAKE CITY, UT 84111
(801) 428-4257
Mailing address
1985 W 11800 S, RIVERTON, UT 84065
(801) 851-0815
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
UT
Other
Enumeration date
09/02/2018
Last updated
09/02/2018
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