MARTHA FERN SOUTHWICK

WEST JORDAN, UT
NPI1568685550
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: UT  2000204405)
Enumeration Date2007-04-10
Last Update Date2018-06-06
Business Address
MARTHA FERN SOUTHWICK NP
8541 S REDWOOD RD STE C2
WEST JORDAN, UT 84088
Phone number: 801-432-7712
Mailing Address
MARTHA FERN SOUTHWICK NP
1947 KATE CV
WEST JORDAN, UT 84088-6631
Phone number: 801-561-2280
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