Individual
TARA TULLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
464 N 750 E, LINDON, UT 84042-1541
(801) 380-3247
Mailing address
464 N 750 E, LINDON, UT 84042-1541
(801) 380-3247
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
6088135-3400
UT
Other
Enumeration date
01/27/2010
Last updated
01/27/2010
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