Individual
ANGELA DESPAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9361 S 300 E, SANDY, UT 84070
(801) 826-5000
Mailing address
10048 S 2165 E, SANDY, UT 84092-4023
(801) 550-4470
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
5158591-3102
UT
Other
Enumeration date
08/04/2023
Last updated
08/04/2023
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