Individual
HEIDI JOSEPHSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
750 N FREEDOM BLVD, PROVO, UT 84601-1677
(801) 373-4760
Mailing address
99 W 1450 N APT 99, PROVO, UT 84604-2678
(208) 313-0699
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/05/2012
Last updated
09/22/2014
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