Individual
GRACE RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
27 S MARIO CAPECCHI DR, SALT LAKE CITY, UT 84112-5888
(801) 581-7498
Mailing address
5990 TRAILSIDE LOOP, PARK CITY, UT 84098-6182
(385) 343-8646
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
UT
Other
Enumeration date
10/07/2024
Last updated
10/07/2024
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