Individual
MRS. KORINNE KJAR FUENTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.N.M.
Contact information
Practice address
1100 S MEDICAL DR, MT PLEASANT, UT 84647-2222
(435) 851-2406
(435) 462-2509
Mailing address
395 W UNION ST, MANTI, UT 84642-1330
(435) 851-2406
(435) 462-2509
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
195187-4402
UT
Other
Enumeration date
03/05/2007
Last updated
08/19/2007
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