NPI 1104472760
Taylor Wallace
Practice location
- Address
- 2791 S 2475 E, Salt Lake Cty, UT 84109-1825
- Phone
- (801) 631-6285
Registered specialties
Attendant Care Provider
Primary
Registry record
- NPI
- 1104472760
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 9 Aug 2019
- Record last updated
- 9 Aug 2019
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.