CARLY BENCH

SALT LAKE CITY, UT
NPI1205220357
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: UT  8581404-4405)
Enumeration Date2015-03-26
Last Update Date2019-01-22
Business Address
CARLY BENCH
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113-1103
Phone number: 801-662-1000
Mailing Address
CARLY BENCH
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113-1103
Phone number: