Individual
GLENNA DIAMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
757 S MAIN ST, SPRINGVILLE, UT 84663-2452
(801) 491-2270
(801) 491-2279
Mailing address
757 S MAIN ST, SPRINGVILLE, UT 84663-2452
(801) 491-2270
(801) 491-2279
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/28/2010
Last updated
04/28/2010
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