CHARLES L HEAD

SOUTH SALT LAKE, UT
NPI1295423283
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: UT  9266563-4405)
Enumeration Date2023-04-27
Last Update Date2024-03-21
Business Address
CHARLES L HEAD APRN
3838 S 700 E STE 300
SOUTH SALT LAKE, UT 84106-1496
Phone number: 801-261-4988
Mailing Address
CHARLES L HEAD APRN
3838 S 700 E STE 300
SOUTH SALT LAKE, UT 84106-1496
Phone number: 801-261-4988
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