Autumn Chyanne Boydston
NPI #1245757202 in Salt Lake City, Utah
Provider Information
- NPI Number
- 1245757202
- Entity Type
- Individual
- Name
- Autumn Chyanne Boydston
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist, Other
- Enumeration Date
- Aug 29, 2017
- Last Updated
- Aug 29, 2017
Practice Location
- Address
- 4444 S 700 E STE 203
- City
- Salt Lake City
- State
- Utah
- ZIP Code
- 84107-3075
- Phone
- (801) 268-4887
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist, Other |
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