Individual
BOBBIE JEAN CRIDDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
77 S 600 E STE C, PRICE, UT 84501-3174
(435) 613-7289
Mailing address
PO BOX 867, PRICE, UT 84501-0867
(435) 637-7200
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
3098572-3101
UT
Other
Enumeration date
11/01/2021
Last updated
11/01/2021
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