Individual
PORTIA CHRISTINE CAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
530 S WAKARA WAY, SALT LAKE CITY, UT 84108-1213
(801) 587-6453
Mailing address
530 S WAKARA WAY, SALT LAKE CITY, UT 84108-1213
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
WA
Other
Enumeration date
03/13/2022
Last updated
04/19/2022
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