MANDI LOU TANNER

FARR WEST, UT
NPI1598434953
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: UT  4807317-4405)
Enumeration Date2021-09-09
Last Update Date2024-04-15
Business Address
MANDI LOU TANNER APRN
2512 W 2725 N
FARR WEST, UT 84404-9469
Phone number: 801-309-6285
Mailing Address
MANDI LOU TANNER APRN
2512 W 2725 N
FARR WEST, UT 84404-9469
Phone number: 801-309-6285
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