Tina Severson
NPI #1043865884 in West Jordan, Utah
Provider Information
- NPI Number
- 1043865884
- Entity Type
- Individual
- Name
- Tina Severson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Technician - Attendant Care Provider
- Enumeration Date
- Aug 8, 2019
- Last Updated
- Aug 8, 2019
Practice Location
- Address
- 8330 S 2200 W
- City
- West Jordan
- State
- Utah
- ZIP Code
- 84088-9514
- Phone
- (801) 255-8220
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician - Attendant Care Provider — Attendant Care Provider |
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