Individual
STEFANI DIANNE WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-A
Contact information
Practice address
299 E 1060 S, IVINS, UT 84738-6271
(435) 313-1857
Mailing address
299 E 1060 S, IVINS, UT 84738-6271
(435) 313-1857
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
5725579-4101
UT
Other
Enumeration date
11/19/2018
Last updated
11/19/2018
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