Individual
TAILAI GUAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
210 E 700 S, PLEASANT GROVE, UT 84062-3510
(801) 785-9445
Mailing address
4284 E INVERNESS LN, EAGLE MOUNTAIN, UT 84005-4767
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11508283
UT
Other
Enumeration date
07/30/2022
Last updated
07/30/2022
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