Individual
SHERIDAN URIBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
251 E. 200 N., ST. GEORGE, UT 84770
(435) 922-2750
Mailing address
251 E. 200 N., ST. GEORGE, UT 84770
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609338854
—
UT
Enumeration date
02/23/2022
Last updated
02/23/2022
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