Individual
MARY JANE LANGFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
90 E 200 N, LOGAN, UT 84321-4034
(435) 752-0750
Mailing address
450 EDGEWOOD CIR, PROVIDENCE, UT 84332-9451
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
5395635-3102
UT
Other
Enumeration date
07/11/2014
Last updated
07/11/2014
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