Individual
CARLIE DIDERICKSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2986 W SOUTHPOINTE RD, SOUTH JORDAN, UT 84095-3396
(801) 516-8056
Mailing address
2986 W SOUTHPOINTE RD, SOUTH JORDAN, UT 84095-3396
(801) 516-8056
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
05/14/2025
Last updated
05/14/2025
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