Individual
MELANIE FAZIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5121 S COTTONWOOD ST, MURRAY, UT 84107-5701
(801) 507-7673
Mailing address
5121 S COTTONWOOD ST, MURRAY, UT 84107-5701
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9508633-3102
UT
Other
Enumeration date
12/20/2017
Last updated
12/20/2017
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