JORDAN WANBERG

Foster Care Agency

Active Individual
NPI: 1578981502

Practice Address

862 S MAIN ST STE 4
Brigham City, UT 84302

Phone: (435) 753-6245

Specialties

Specialty Code Primary License
Foster Care Agency 253J00000X Yes -

Frequently Asked Questions

NPI 1578981502 is the National Provider Identifier for JORDAN WANBERG, a Foster Care Agency provider located in Brigham City, UT. This NPI was enumerated on April 7, 2014.
JORDAN WANBERG practices at 862 S MAIN ST STE 4, Brigham City, UT 84302.

Quick Facts

NPI
1578981502
Type
Individual
Enumerated
Apr 7, 2014
Last Updated
Apr 7, 2014

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