Individual
MS. TAMARA JO FERRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
763 N 1650 W, SPRINGVILLE, UT 84663-5066
(801) 704-1372
Mailing address
763 N 1650 W, SPRINGVILLE, UT 84663-5066
(801) 704-1372
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
10790272-3101
UT
Other
Enumeration date
10/26/2019
Last updated
10/26/2019
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