Most Relevant Information
Provider Data
| NPI Number: | 1003667536 |
| Provider Name: | SARAH ELYSE DICKSON |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/01/2024 |
| Last Updated: | 04/01/2024 |
Provider Practice Location
558 S 1500 W
LAYTON
UT
840417173
Practice Location Phone/Fax
| Phone: | 8013901958 |
| Fax: |
Provider Mailing Location
558 S 1500 W
LAYTON
UT
840417173
Provider Mailing Phone/Fax
| Phone: | 8013901958 |
| Fax: |