TRACY ANNE LIU

PROVO, UT
NPI1407925217
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: UT  01122865)
Enumeration Date2006-11-07
Last Update Date2007-07-08
Business Address
-- TRACY ANNE LIU MS
1034 N 500 W
PROVO, UT 84604-3380
Phone number: 801-357-7475
Mailing Address
-- TRACY ANNE LIU MS
PO BOX 30180
SALT LAKE CITY, UT 84130-0180
Phone number: