SAMANTHA BEACH

PROVO, UT
NPI1316539984
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Additional Taxonomies104100000X Social Worker
Enumeration Date2021-02-05
Last Update Date2021-08-23
Business Address
SAMANTHA BEACH
750 N FREEDOM BLVD
PROVO, UT 84601-1677
Phone number: 801-373-4760
Mailing Address
SAMANTHA BEACH
750 N FREEDOM BLVD
PROVO, UT 84601-1677
Phone number: 801-373-4760