Individual
MEGAN CATHERINE SMIRNOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
310 E 11TH AVE STE B, SLC, UT 84103-2801
(801) 641-1943
Mailing address
310 E 11TH AVE STE B, SLC, UT 84103-2801
(801) 641-1943
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/06/2023
Last updated
04/28/2023
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