Individual
TINA DUNFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
458 N 600 W, BRIGHAM CITY, UT 84302-1756
(435) 695-3896
Mailing address
458 N 600 W, BRIGHAM CITY, UT 84302-1756
(435) 695-3896
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
UT000341370112
UT
Other
Enumeration date
04/27/2017
Last updated
04/27/2017
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