DOMINIQUE BADURA

PROVO, UT
NPI1952850018
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041S0200X Social Worker, School
Additional Taxonomies172V00000X Community Health Worker
171M00000X Case Manager/Care Coordinator
Enumeration Date2016-09-29
Last Update Date2017-01-24
Business Address
-- DOMINIQUE BADURA
1726 BUCKLEY DRIVE
PROVO, UT 84606
Phone number: 801-373-6562
Mailing Address
-- DOMINIQUE BADURA
857 EAST 200 SOUTH
SALT LAKE CITY, UT 84102
Phone number: 801-487-3276