Individual
ALESIA LYNNE HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2233 S PRESIDENTS DR STE B, SALT LAKE CITY, UT 84120-7244
(801) 978-9600
(801) 880-4799
Mailing address
2233 S PRESIDENTS DR STE B, SALT LAKE CITY, UT 84120-7244
(801) 978-9600
(801) 880-4799
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
287187-1701
UT
Other
Enumeration date
11/04/2019
Last updated
11/04/2019
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