Individual
JANEE NAMEALOHA SELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3200 N CANYON RD STE C, PROVO, UT 84604-4682
(385) 375-8724
Mailing address
1712 S EAST BAY BLVD STE C, PROVO, UT 84606-6138
(385) 375-8724
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
8699646-1205
UT
207Q00000X
Family Medicine Physician
MD-18253
HI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
791831
—
HI
Enumeration date
05/16/2012
Last updated
05/10/2021
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