Addison Udall
Addison Udall is a Student in an Organized Health Care Education/Training Program in South Jordan, Utah. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
10894 S Riv Frnt PkwySouth Jordan, UT 84095-5609
Phone: (801) 878-1200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1356037998 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 17, 2023 |
| Last updated in NPPES | April 17, 2023 |
| Certification date | April 16, 2023 |
| Mailing address | 1801 Wedemeyer St Unit 412, San Francisco, CA 94129-5279 |
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