Individual
MARNI DAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
90 E 200 N, LOGAN, UT 84321-4034
(435) 752-0750
Mailing address
90 E 200 N, LOGAN, UT 84321-4034
(435) 752-0750
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
201017-3102
UT
Other
Enumeration date
07/19/2016
Last updated
07/19/2016
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