Individual
MRS. DONNA MARGARET THORNBLAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCM
Contact information
Practice address
237 26TH STREET, OGDEN, UT 84401
(801) 625-3767
(801) 625-3896
Mailing address
2320 NORTH MOUNTAIN ROAD, OGDEN, UT 84414
(801) 782-3798
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
876000308007
—
UT
Enumeration date
05/01/2007
Last updated
07/08/2007
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