Individual
CATHY BLISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
151 S UNIVERSITY AVE, PROVO, UT 84601-4427
(801) 851-7000
Mailing address
151 S UNIVERSITY AVE, PROVO, UT 84601-4427
(801) 851-7000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
7399723-3102
UT
Other
Enumeration date
07/17/2019
Last updated
07/17/2019
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