Individual
GARRETT LORIN PICKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2500 S STATE ST, SOUTH SALT LAKE, UT 84115-3164
(385) 646-5000
Mailing address
4886 S 1710 E, HOLLADAY, UT 84117-5928
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
9793629-3102
UT
Other
Enumeration date
05/10/2022
Last updated
05/10/2022
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