AUDREY MASON WADE

SALT LAKE CITY, UT
NPI1356040299
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: UT  390200000X)
Enumeration Date2023-02-28
Last Update Date2023-02-28
Business Address
AUDREY MASON WADE
27 S MARIO CAPECCHI DR
SALT LAKE CITY, UT 84112-5888
Phone number: 907-450-9646
Mailing Address
AUDREY MASON WADE
759 E LINDEN AVE
SALT LAKE CITY, UT 84102-2210
Phone number: 907-450-9646