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Individual

JODI STEWMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2194 N SERENITA ST, WASHINGTON, UT 84780-3189
(435) 632-2099
(833) 632-1248
Mailing address
PO BOX 2604, MESQUITE, NV 89024-2604
(833) 632-1248
(833) 632-1248

Taxonomy

Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
00008376
UT
343900000X
Non-emergency Medical Transport (VAN)
Primary
00008376
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0207468
MT
Enumeration date
01/11/2022
Last updated
01/11/2022
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