NPI 1568782365

Angelina Mary Dust

Practitioner Driver Salt Lake City, UT

Practice location

Address: 344 E 100 S, Salt Lake City, UT 84111-1700
Phone: (801) 322-4257
Mailing address: 68 S 600 E, Salt Lake City, UT 84102-1007

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence 166385867 (UT)

Other Driver providers in Utah →

Registry record

NPI: 1568782365
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Jun 2010
Record last updated: 3 Jun 2010

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.