Individual
LAURA CARRIE ANDERSON
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) 793-5446
Mailing address
417 E 300 S APT 9, SALT LAKE CITY, UT 84111-2672
(801) 793-5446
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/09/2023
Last updated
03/09/2023
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