Individual
EVA GLENN THIMMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
440 S 500 E, SALT LAKE CITY, UT 84102-2705
(801) 359-8862
Mailing address
440 S 500 E, SALT LAKE CITY, UT 84102-2705
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
F24-115489
UT
Other
Enumeration date
09/25/2024
Last updated
09/25/2024
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