Individual
TRISTAN SIERRA TROUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1140 W 500 S STE 9, VERNAL, UT 84078-2912
(435) 789-6300
(435) 789-6357
Mailing address
1140 W 500 S STE 9, VERNAL, UT 84078-2912
(435) 789-6300
(435) 789-6357
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/01/2021
Last updated
12/01/2021
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