Individual
SONIA DELBUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
7400 OLD MAIN HL, LOGAN, UT 84322-7400
(435) 797-1850
Mailing address
7400 OLD MAIN HL, LOGAN, UT 84322-7400
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
9839997-4810
UT
Other
Enumeration date
08/04/2016
Last updated
08/04/2016
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