Most Relevant Information
Provider Data
| NPI Number: | 1003406380 |
| Provider Name: | KARLIE ERVIN |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/21/2021 |
| Last Updated: | 01/21/2021 |
Provider Practice Location
237 26TH ST
OGDEN
UT
844013105
Practice Location Phone/Fax
| Phone: | 8016253700 |
| Fax: |
Provider Mailing Location
237 26TH ST
OGDEN
UT
844013105
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |