Individual
TIARA KATHERINE VALK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
730 SPRING DRIVE, TOQUERVILLE, UT 84774
(435) 635-0300
(435) 635-1133
Mailing address
1356 W 710 N, ST GEORGE, UT 84770-4610
(435) 619-2981
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
221586-3101
UT
Other
Enumeration date
04/25/2018
Last updated
04/25/2018
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