Individual
JOSHUA ANDREW DAIGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3640 S CHRISTINE ST, SALT LAKE CITY, UT 84106-2038
(774) 722-0501
Mailing address
3640 S CHRISTINE ST, SALT LAKE CITY, UT 84106-2038
(774) 722-0501
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
10674941-3102
UT
Other
Enumeration date
06/22/2021
Last updated
06/22/2021
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