SearchUtah106S00000X

Grace Temple

NPI 1720686074 · on the registry since 2020

Practice

Address
606 W 1720 N Apt 206
Provo, UT 84604
Phone
(847) 826-3883
Clinicians at this address
2

Registry record

Primary taxonomy
106S00000X
106S00000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-10-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah