Individual
DAWNA UPSHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
90 E 200 N, LOGAN, UT 84321-4034
(435) 752-0750
Mailing address
746 N 100 W APT 2, LOGAN, UT 84321
(210) 663-7606
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
UT
Other
Enumeration date
10/17/2024
Last updated
10/17/2024
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