Individual provider · Type 1 NPI

Justice Kassidy Wallace

Technician · Salt Lake City, UT

NPI number 1467173765 Active

Practice location

344 E 100 S Ste 301
Salt Lake City, UT 84111-1727

Call (801) 428-4257 Map

Specialties and licenses

TaxonomyCodeLicense
Technician Primary 374700000XNone listed

Technician: (1) A person with specialized training in a narrow field of expertise whose occupation requires training and is skilled in specific technical processes and procedures. (2) An individual having special skill or practical knowledge in an area, such as operation and maintenance of equipment or performance of laboratory procedures involving biochemical analyses. Special technical qualifications are normally required, th…

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About NPI 1467173765

Justice Kassidy Wallace's National Provider Identifier is 1467173765, issued on Sep 6, 2022. The primary taxonomy on file is Technician (374700000X), and the practice location is in Salt Lake City, UT. The record was last updated on Sep 6, 2022.