EMMALINE ELISA HADERLIE

SALT LAKE CITY, UT
NPI1467298216
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Additional Taxonomies202K00000X 
(Licence: UT  D2L2E6L2)
Enumeration Date2024-07-02
Last Update Date2024-07-02
Business Address
EMMALINE ELISA HADERLIE
30 N 1900 E
SALT LAKE CITY, UT 84132-0002
Phone number: 801-581-7498
Mailing Address
EMMALINE ELISA HADERLIE
1154 S 1300 E
SALT LAKE CITY, UT 84105-1955
Phone number: 208-600-0548