Quince Van Orden

NPI 1396183869 - Foster Care Agency - 253J00000X

NPI Details
NPI 1396183869
Gender Male
Enumeration Date 06/06/2013
Last Updated 06/06/2013
Entity Type Individual
Active Over 4 years ago
Practice Location
862 S MAIN ST STE 4
BRIGHAM CITY UT, 84302-3389, US
Phone (435) 723-1799
Fax
Business Location
862 S MAIN ST STE 4
BRIGHAM CITY UT, 84302-3389, US
Phone (435) 723-1799
Fax
Toxanomy
Taxonomy Code 253J00000X
License State
License Number
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According to our database, Quince Van Orden NPI is 1396183869, taxonomy code is 253J00000X Quince Van Orden physically located at 862 S Main St Ste 4, Brigham City UT, 84302-3389. NPI Number Quince Van Orden has the Individual type.

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1396183869 NPI number is provided on an as is basis without warranty of any kind. 1396183869 is maintained by the National Plan & Provider Enumeration System. The contents of Quince Van Orden are for informational purposes only.