COLT MUND

Foster Care Agency

Active Individual
NPI: 1104117639

Practice Address

170 W 200 N
Willard, UT 84340

Phone: (435) 734-9606

Specialties

Specialty Code Primary License
Foster Care Agency 253J00000X Yes -

Frequently Asked Questions

NPI 1104117639 is the National Provider Identifier for COLT MUND, a Foster Care Agency provider located in Willard, UT. This NPI was enumerated on May 2, 2011.
COLT MUND practices at 170 W 200 N, Willard, UT 84340.

Quick Facts

NPI
1104117639
Type
Individual
Enumerated
May 2, 2011
Last Updated
May 2, 2011

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