Individual
TAMARISK HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
575 E 100 S, PRICE, UT 84501-3102
(435) 637-2358
Mailing address
PO BOX 867, PRICE, UT 84501-0867
(435) 637-7200
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
7661123-3101
UT
Other
Enumeration date
08/04/2020
Last updated
08/04/2020
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