Individual
NATHAN TRENT OSTVIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPHT
Contact information
Practice address
3270 S 1300 E, SOUTH SALT LAKE, UT 84106-3008
(801) 487-5461
Mailing address
3540 S 4000 W, WEST VALLEY CITY, UT 84120-3260
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
9759811-1717
UT
Other
Enumeration date
08/20/2020
Last updated
08/20/2020
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