Individual
HATTIE J PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
233 N 250 W, TOOELE, UT 84074-1523
(435) 882-0967
Mailing address
233 N 250 W, TOOELE, UT 84074-1523
(435) 882-0967
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
7686991-3102
UT
Other
Enumeration date
08/30/2010
Last updated
08/30/2010
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