Individual
MELISSA J SHUMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4444 S 700 E STE 203, SALT LAKE CITY, UT 84107-3075
(801) 268-4887
Mailing address
4444 S 700 E STE 203, SALT LAKE CITY, UT 84107-3075
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
RBT-18-48915
UT
Other
Enumeration date
02/07/2018
Last updated
02/07/2018
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