Individual
NORMA RAE CUTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
500 FOOTHILL DR, SALT LAKE CITY, UT 84148
(801) 582-1565
Mailing address
500 FOOTHILL DR, SALT LAKE CITY, UT 84148
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4751642-3101
UT
Other
Enumeration date
12/02/2010
Last updated
12/02/2010
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