Shae Fetters, CFA
Specialist/Technologist, Other, Surgical Technologist in Provo, UT. Individual provider (NPI-1).
NPI number1982803417
StatusActive
Last updated in NPPESJul 14, 2007
Details
- NPI
- 1982803417
- Entity type
- Individual (NPI-1)
- Name
- Shae Fetters
- Credential
- CFA
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 14, 2007
- Last updated
- Jul 14, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 246ZS0410X | Specialist/Technologist, Other, Surgical Technologist | – | – | Yes |
Practice location
3214 N University Ave # 123Provo, UT 84604-4405
Phone 801-319-0371
Mailing address
3214 N University Ave # 123Provo, UT 84604-4405
Phone 801-319-0371
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