Individual
MRS. LISA TEII VELLINGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
1000 N MAIN ST, RICHFIELD, UT 84701-2061
(435) 893-0640
(435) 893-0630
Mailing address
1000 N MAIN, RICHFIELD, UT 84701
(435) 893-0640
(435) 893-0630
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
295149-3102
UT
Other
Enumeration date
01/26/2015
Last updated
01/26/2015
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