Individual
AMELIA CHESNUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1156 S BENTLEY BLVD, CEDAR CITY, UT 84720-1809
(435) 704-7574
Mailing address
1156 S BENTLEY BLVD, CEDAR CITY, UT 84720-1809
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
172V00000X
—
UT
Enumeration date
05/19/2021
Last updated
05/19/2021
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