Augusta Blackstone Valid NPI

Individual provider · Student in an Organized Health Care Education/Training Program · Salt Lake City, UT

NPI

1023846219

Type

Individual (Type 1)

Primary specialty

Student in an Organized Health Care Education/Training Program

Specialty group

Student, Health Care

Taxonomy code

390200000X

Sex

Female

Sole proprietor

No

Enumerated

2024-07-22

Last updated

2024-07-22