Individual
CHRISTINA DIANE SHURTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SSW
Contact information
Practice address
750 N 200 W # 102, PROVO, UT 84601-1677
(801) 852-3789
(801) 373-2928
Mailing address
750 N 200 W # 102, PROVO, UT 84601-1677
(801) 852-3789
(801) 373-2928
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
71455373503
UT
Other
Enumeration date
09/21/2009
Last updated
09/21/2009
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