Individual
KLARYSA THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
29 E SILVER OAK RD, VINEYARD, UT 84059-5683
(801) 725-9347
Mailing address
29 E SILVER OAK RD, VINEYARD, UT 84059-5683
(801) 725-9347
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9037718-4405
UT
Other
Enumeration date
08/29/2019
Last updated
08/29/2019
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