Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 376317-1202 | UT |
NPI | 1003072067 |
---|---|
Provider Name | Linda Laura Palmer |
First Address | Farmington, UT 84025-3934 |
Second Address | Farmington, UT 84025-3934 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/07/2008 |
Last Update Date | 30/07/2008 |