Individual
SHALEEN SMITH FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
509 MOUNTAINVILLE DR, ALPINE, UT 84004-1457
(801) 310-8551
Mailing address
509 MOUNTAINVILLE DR, ALPINE, UT 84004-1457
(801) 310-8551
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
UT
Other
Enumeration date
10/23/2025
Last updated
10/23/2025
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