Individual
MS. TAMARA L PUTNAM
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
280 E 600 S, SALT LAKE CITY, UT 84111-3564
(801) 538-2069
(801) 359-6113
Mailing address
218 I ST, SALT LAKE CITY, UT 84103-3009
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
214854-3102
UT
Other
Enumeration date
10/20/2005
Last updated
07/08/2007
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