DIANE S FEDORCHAK

SALT LAKE CITY, UT
NPI1295748705
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy367A00000X Advanced Practice Midwife
(Licence: UT  2012884402)
Enumeration Date2006-08-14
Last Update Date2007-07-08
Business Address
-- DIANE S FEDORCHAK CNM
324 10TH AVE STE 163
SALT LAKE CITY, UT 84103-2856
Phone number: 801-408-1440
Mailing Address
-- DIANE S FEDORCHAK CNM
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number: 801-408-1440
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