Individual
MRS. PATRICIA MOTTRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IDMT
Contact information
Practice address
7321 BALMER ST BLDG 569, HILL AFB, UT 84056-5012
(801) 777-4710
(801) 775-3897
Mailing address
7321 BALMER ST BLDG 569, HILL AFB, UT 84056-5012
(801) 777-4710
(801) 775-3897
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
06/17/2009
Last updated
06/17/2009
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