Most Relevant Information
Provider Data
NPI Number: | 1003459520 |
Provider Name: | CASANDRA RUTH LOVING |
Entity Type: | Individual |
Taxonomy Code: | 171M00000X |
Specialty: | Case Manager/Care Coordinator |
License Number: |
Most Important Dates
Enumeration Date: | 10/28/2019 |
Last Updated: | 10/28/2019 |
Provider Practice Location
344 E 100 S
SLC
UT
841111700
Practice Location Phone/Fax
Phone: | 8013223397 |
Fax: |
Provider Mailing Location
344 E 100 S
SLC
UT
841111700
Provider Mailing Phone/Fax
Phone: | 8013223397 |
Fax: |