Individual
TRENT EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
365 WEST 1420 NORTH, PLEASANT GROVE, UT 84062
(801) 473-7832
Mailing address
365 W 1420 N, PLEASANT GROVE, UT 84062-3817
(801) 473-7832
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/16/2014
Last updated
01/16/2014
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