Individual provider · Type 1 NPI

Melanie Clark

Student in an Organized Health Care Education/Training Program · Layton, UT

NPI number 1457657488 Active

Practice location

2250 N 1700 W
Layton, UT 84041-1140

Call (801) 773-7060 Map

Fax (801) 774-6100

Mailing address

PO Box 460
Bountiful, UT 84011-0460

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 1457657488

Melanie Clark's National Provider Identifier is 1457657488, issued on Feb 9, 2011. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Layton, UT. The record was last updated on Feb 9, 2011.