Individual
JUANITA M FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CDE
Contact information
Practice address
6822 EAST 1000 SOUTH, FORT DUCHESNE, UT 84026-0160
(435) 722-5122
(435) 725-6849
Mailing address
6822 E 1000 S, FT. DUCHESNE, UT 84026-0160
(435) 722-5122
(435) 725-6849
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
4704175460
MI
Other
Enumeration date
04/16/2007
Last updated
07/08/2007
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