SearchUtah124Q00000X

Staci Stout, RDH, BSDH

NPI 1245755719 · on the registry since 2017 · sole proprietor

Practice

Address
3113 W Swiss Pass Cir
South Jordan, UT 84095
Phone
(801) 678-1221

Registry record

Primary taxonomy
124Q00000X
124Q00000X
Licence states on file
UT
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-07-21

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