KELLY DISTEFANO

SALT LAKE CITY, UT
NPI1851021018
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163WM0102X Registered Nurse, Maternal Newborn
(Licence: UT  111980483102)
Enumeration Date2022-06-12
Last Update Date2022-06-12
Business Address
KELLY DISTEFANO
50 N MEDICAL DR
SALT LAKE CITY, UT 84132-0001
Phone number: 801-581-2953
Mailing Address
KELLY DISTEFANO
2165 S 1700 E
SALT LAKE CITY, UT 84106-4122
Phone number: 860-462-8204
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