Individual
TRAVIS DAIGNAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1870 N MAIN ST, SUITE 102, CEDAR CITY, UT 84721-7744
(801) 255-5131
(801) 255-5131
Mailing address
6013 S REDWOOD RD, TAYLORSVILLE, UT 84123-5220
(801) 255-5131
(801) 255-5131
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
05/04/2016
Last updated
05/04/2016
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