Individual
STEPHANIE TARYN DETAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HHP
Contact information
Practice address
707 24TH ST, OGDEN, UT 84401-2580
(801) 866-4718
Mailing address
932 BINFORD ST, OGDEN, UT 84401-2530
(801) 866-4718
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
—
Other
Enumeration date
03/12/2024
Last updated
03/12/2024
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