Individual
HOLDEN CLARK SMITH I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
780 S GUARDSMAN WAY, SALT LAKE CITY, UT 84108-1374
(801) 581-0194
Mailing address
3725 W 4100 S, WEST VALLEY CITY, UT 84120-5411
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
11/09/2022
Last updated
09/09/2024
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