Individual
RENEE W. MALAE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
190 KRISTIN DR, SANDY, UT 84070-3362
(801) 816-9696
Mailing address
190 KRISTIN DR, SANDY, UT 84070-3362
(801) 816-9696
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
174736-3102
UT
Other
Enumeration date
02/02/2006
Last updated
07/08/2007
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