Individual
TAZIA LYNNE VENSTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2250 N 1700 W, LAYTON, UT 84041-1140
(801) 773-7060
(801) 774-6100
Mailing address
PO BOX 460, BOUNTIFUL, UT 84011-0460
(801) 773-7060
(801) 774-6100
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
UT
Other
Enumeration date
12/31/2009
Last updated
12/31/2009
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