Individual
MRS. JESSICA TANDY STAHLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
480 CLOVERDALE RD, NORTH SALT LAKE, UT 84054-2323
(801) 831-0630
(801) 797-9412
Mailing address
480 CLOVERDALE RD, NORTH SALT LAKE, UT 84054-2323
(801) 831-0630
(801) 797-9412
Taxonomy
Speciality
Code
Description
License number
State
175M00000X
Lay Midwife
Primary
—
—
Other
Enumeration date
06/23/2011
Last updated
06/23/2011
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