Individual
SYONJA GUSTAFSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
251 N 200 E, ST. GEORGE, UT 84770
(435) 922-2750
Mailing address
251 N 200 E, ST. GEORGE, UT 84770
(435) 922-2750
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/02/2021
Last updated
12/02/2021
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