Individual
MISS VICTORIA RUTH BLONQUIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1774 N 80 W, OREM, UT 84057-2198
(630) 441-2750
Mailing address
1774 N 80 W, OREM, UT 84057-2198
(630) 441-2750
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/08/2011
Last updated
09/08/2011
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