Individual
TRENTON STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
60 N CENTER ST, WELLSVILLE, UT 84339-9412
(208) 351-8329
Mailing address
PO BOX 335, WELLSVILLE, UT 84339-0335
(208) 351-8329
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
7975292-1202
UT
Other
Enumeration date
02/22/2011
Last updated
05/02/2011
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