Leslie Van Goldtooth

NPI #1275908279 in Moab, Utah

Provider Information

NPI Number: 1275908279
Entity Type: Individual
Name: Leslie Van Goldtooth
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Case Manager/Care Coordinator
Enumeration Date: Dec 2, 2015
Last Updated: Dec 2, 2015

Practice Location

Address: 198 E CENTER ST
City: Moab
State: Utah
ZIP Code: 84532-2430
Phone: (435) 259-6131

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X	Primary

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