SearchUtah225800000X

Angel Glade

NPI 1225883887 · on the registry since 2024

Practice

Address
4782 S Holladay Blvd
Holladay, UT 84117
Phone
(385) 465-9002
Clinicians at this address
8

Registry record

Primary taxonomy
225800000X
225800000X
Licence states on file
UT
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-04-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah