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Kemyla Sacre

Student in an Organized Health Care Education/Training Program in Salt Lake City, UT. Individual provider (NPI-1).

NPI number1982104972
StatusActive
Last updated in NPPESJul 29, 2024

Details

NPI
1982104972
Entity type
Individual (NPI-1)
Name
Kemyla Sacre
Sex
Female
Sole proprietor
No
Enumeration date
Feb 15, 2018
Certification date
Jul 29, 2024
Last updated
Jul 29, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

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

Phone 801-581-7498

Mailing address

1133 University Vlg
Salt Lake City, UT 84108-3501

Phone 435-730-0489

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