LARESA COLES

Student in an Organized Health Care Education/Training Program

Active Individual
NPI: 1407521032

Practice Address

415 MEDICAL DR STE D101
Bountiful, UT 84010

Phone: (801) 683-1062

Specialties

Specialty Code Primary License
Student in an Organized Health Care Education/Training Program 390200000X Yes -

Frequently Asked Questions

NPI 1407521032 is the National Provider Identifier for LARESA COLES, a Student in an Organized Health Care Education/Training Program provider located in Bountiful, UT. This NPI was enumerated on August 16, 2021.
LARESA COLES practices at 415 MEDICAL DR STE D101, Bountiful, UT 84010.

Quick Facts

NPI
1407521032
Type
Individual
Enumerated
Aug 16, 2021
Last Updated
Jul 29, 2025

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