Individual
MRS. MALINDA M CALDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
3545 E FRANKLIN DR, EAGLE MOUNTAIN, UT 84005-5839
(208) 227-3743
Mailing address
750 N FREEDOM BLVD STE 300, PROVO, UT 84601-1690
(801) 852-4714
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/08/2021
Last updated
01/02/2022
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