Individual
DIANA R DENNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
8TH AVE C ST, SLC, UT 84143-0001
(801) 408-1100
Mailing address
8TH AVE C ST, SLC, UT 84143-0001
(801) 408-1100
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
277736-3102
UT
Other
Enumeration date
07/11/2007
Last updated
07/11/2007
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