Tracy Ann Dyches

NPI #1740755818 in North Salt Lake, Utah

Provider Information

NPI Number: 1740755818
Entity Type: Individual
Name: Tracy Ann Dyches
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Contractor
Enumeration Date: Oct 4, 2018
Last Updated: Oct 4, 2018

Practice Location

Address: 200 S ORCHARD DR STE 2
City: North Salt Lake
State: Utah
ZIP Code: 84054-1801
Phone: (801) 664-6301

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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