Individual
LANDON PHILLIP HENRIKSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
228 E 1ST AVE APT 7, SLC, UT 84103-2344
(801) 696-4261
Mailing address
228 E 1ST AVE APT 7, SLC, UT 84103-2344
(801) 696-4261
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
UT
Other
Enumeration date
04/29/2021
Last updated
04/29/2021
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