Individual
KATHLEEN MANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
763 N 1650 W, SPRINGVILLE, UT 84663-5066
(801) 704-1373
(801) 704-1408
Mailing address
763 N 1650 W, SPRINGVILLE, UT 84663-5066
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
195500-3101
UT
Other
Enumeration date
11/05/2018
Last updated
11/05/2018
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