Individual
TERYLIN ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
1387 W 1800 N, CLINTON, UT 84015-8942
(801) 779-0095
(801) 779-0255
Mailing address
1387 W 1800 N, CLINTON, UT 84015-8942
(801) 779-0095
(801) 779-0255
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
2448731
UT
Other
Enumeration date
03/10/2014
Last updated
03/10/2014
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