Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 124Q00000X | Dental Hygienist | 7025334-9920 | UT |
NPI | 1073740148 |
---|---|
Provider Name | Chanci Sheree Vuittonet |
First Address | Murray, UT 84121-1181 |
Second Address | Murray, UT 84121-1181 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/06/2009 |
Last Update Date | 16/06/2009 |