Individual
AHLEY NOBUHARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
42 E 300 N, SPANISH FORK, UT 84660-1859
(801) 896-1961
Mailing address
42 E 300 N, SPANISH FORK, UT 84660-1859
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
60522
UT
Other
Enumeration date
01/08/2024
Last updated
01/08/2024
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