Individual
FABIOLA CANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
5121 S COTTONWOOD ST, MURRAY, UT 84107-5701
(801) 507-1400
Mailing address
2973 S SEFTON DR, WEST VALLEY CITY, UT 84120-5998
(801) 230-9388
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
904743102
UT
Other
Enumeration date
09/08/2021
Last updated
09/08/2021
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