person
Mikaela Decoster
Student in an Organized Health Care Education/Training Program in Salt Lake City, Utah
NPI 1043060429

Mikaela Decoster is a Student in an Organized Health Care Education/Training Program based in Salt Lake City, UT. Mikaela Decoster practices in Salt Lake City, UT. The NPI Number for Mikaela Decoster is 1043060429 and holds a License No. (Utah).

The current practice location address for Mikaela Decoster is 30 N Mario Capecchi Drive, Salt Lake City, UT and can be reached out via phone at 801-585-1618.

Location: 30 N Mario Capecchi Drive, Salt Lake City, UT, 84112
person
Provider Profile Details
NPI Number
1043060429
Provider Name
Mikaela Decoster
Credential
Provider Entity Type
Individual
Gender
Female
Address
30 N Mario Capecchi Drive, Salt Lake City, UT, 84112
Phone Number
801-585-1618
Fax Number
Provider Enumeration Date
03/26/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
30 N Mario Capecchi Drive
City
State
Zip
84112
Phone Number
801-585-1618
Fax Number
person
Provider Business Mailing Address Details
Address
30 N Mario Capecchi Drive
City
State
Zip
84112
Phone Number
801-585-1618
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
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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