Individual
PAULA G THACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
3725 W 4100 SOUTH, WEST VALLEY CITY, UT 84120
(801) 965-3600
(801) 965-3526
Mailing address
3725 W 4100 SOUTH, WEST VALLEY CITY, UT 84120
(801) 965-3600
(801) 965-3526
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
2132644402
UT
Other
Enumeration date
07/05/2006
Last updated
03/18/2009
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