Individual
TAMA R JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
3903 HARRISON BLVD, OGDEN, UT 84403-2314
(435) 716-5848
Mailing address
PO BOX 30180, SALT LAKE CITY, UT 84130-0180
(435) 716-5848
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7078982-4102
UT
Other
Enumeration date
08/31/2012
Last updated
08/31/2012
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