NICOLE FISHER BASTIDAS

PROVO, UT
NPI1417068321
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Additional Taxonomies104100000X Social Worker
(Licence: UT  333885 3503)
Enumeration Date2006-08-31
Last Update Date2023-10-19
Business Address
NICOLE FISHER BASTIDAS SSW
750 NORTH 200 WEST
PROVO, UT 84601
Phone number: 801-373-4760
Mailing Address
NICOLE FISHER BASTIDAS SSW
750 NORTH 200 WEST
PROVO, UT 84601
Phone number: 801-373-4760