Individual
MELISSA DITTMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1140 W 500 S, VERNAL, UT 84078-2914
(435) 789-6300
(435) 789-6325
Mailing address
3766 S 1500 W, VERNAL, UT 84078-4673
(435) 789-6300
(435) 789-6325
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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