Felicia Fordham

NPI #1093163206 in Orem, Utah

Provider Information

NPI Number: 1093163206
Entity Type: Individual
Name: Felicia Fordham
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: May 27, 2016
Last Updated: May 27, 2016

Practice Location

Address: 475 W 260 N
City: Orem
State: Utah
ZIP Code: 84057-1970
Phone: (801) 221-9930

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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