CRYSTAL BRENNEN WALLENTINE

SLC, UT
NPI1003060815
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: UT  3613633-1205)
Enumeration Date2008-11-06
Last Update Date2023-01-07
Business Address
Dr. CRYSTAL BRENNEN WALLENTINE M.D.
1937 E SAINT MARYS DR
SLC, UT 84108-2245
Phone number: 801-865-0549
Mailing Address
Dr. CRYSTAL BRENNEN WALLENTINE M.D.
1937 E SAINT MARYS DR
SLC, UT 84108-2245
Phone number: 801-865-0549
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