Individual
LETICIA BENCH WASDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
773 E MILL RD STE C, VINEYARD, UT 84059-5772
(801) 864-2693
Mailing address
213 N 20 W, VINEYARD, UT 84059-6557
(801) 473-9798
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
8668341-4405
UT
Other
Enumeration date
07/13/2023
Last updated
07/13/2023
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