Individual
AMY HUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1726 BUCKLEY LN, PROVO, UT 84606-5031
(801) 375-9222
Mailing address
1726 BUCKLEY LN, PROVO, UT 84606-5031
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/13/2012
Last updated
04/13/2012
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