Shalisa Ladd

NPI #1053855254 in Slc, Utah

Provider Information

NPI Number: 1053855254
Entity Type: Individual
Name: Shalisa Ladd
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Community Health Worker
Enumeration Date: Dec 7, 2016
Last Updated: Dec 7, 2016

Practice Location

Address: 344 E 100 S
Address 2: STE 301
City: Slc
State: Utah
ZIP Code: 84111-1700
Phone: (801) 322-4257

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X	Primary

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