Individual
SERENITY DAWN LUCIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
TRT
Contact information
Practice address
151 E CENTER ST, SPANISH FORK, UT 84660-2161
(801) 798-6220
Mailing address
151 E CENTER ST, SPANISH FORK, UT 84660-2161
(801) 798-6220
Taxonomy
Speciality
Code
Description
License number
State
226000000X
Recreational Therapist Assistant
Primary
10464698-4003
UT
Other
Enumeration date
06/12/2024
Last updated
06/12/2024
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