JULIA RUTH NELSON

PROVO, UT
NPI1578191789
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: UT  12991680-1205)
Enumeration Date2020-04-01
Last Update Date2022-10-13
Business Address
JULIA RUTH NELSON
475 W 940 N
PROVO, UT 84604-3301
Phone number: 801-357-7930
Mailing Address
JULIA RUTH NELSON
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number: