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NPI 1104472760

IndividualActive

Taylor Wallace

NPI 1104472760 · Attendant Care Provider · Salt Lake Cty, UT

Provider details

NPI number: 1104472760
Entity type: Individual
Primary specialty: Attendant Care ProviderNursing Service Related Providers
Sex: Female
Sole proprietor: Yes

Practice location

2791 S 2475 E

Salt Lake Cty, UT 84109-1825

Phone: (801) 631-6285

More UT providers

Mailing address

2791 S 2475 E

Salt Lake Cty, UT 84109-1825

Registry dates

Enumerated: 2019-08-09
Last updated: 2019-08-09

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Taylor Wallace — NPI 1104472760, Salt Lake Cty, UT | NPI Central