Individual provider · Type 1 NPI

Elise-Marie Sabine Vandamme

Student in an Organized Health Care Education/Training Program · Salt Lake City, UT

NPI number 1114764602 Active

Practice location

27 S Mario Capecchi Dr
Salt Lake City, UT 84112-5888

Call (801) 581-7498 Map

Mailing address

1790 Maple Hills Dr
Bountiful, UT 84010-2403

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1114764602

Elise-Marie Sabine Vandamme's National Provider Identifier is 1114764602, issued on Jul 11, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Salt Lake City, UT. The record was last updated on Jul 11, 2024.