MR. JONATHON TEA

Foster Care Agency

Active Individual
NPI: 1134403074

Practice Address

862 S MAIN ST
Brigham City, UT 84302

Phone: (435) 723-1079

Specialties

Specialty Code Primary License
Foster Care Agency 253J00000X Yes -

Frequently Asked Questions

NPI 1134403074 is the National Provider Identifier for MR. JONATHON TEA, a Foster Care Agency provider located in Brigham City, UT. This NPI was enumerated on October 10, 2011.
MR. JONATHON TEA practices at 862 S MAIN ST, Brigham City, UT 84302.

Quick Facts

NPI
1134403074
Type
Individual
Enumerated
Oct 10, 2011
Last Updated
Oct 10, 2011

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