Individual
DEANNA WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
449 E 2100 S, SALT LAKE CITY, UT 84115-2237
(801) 596-2111
(801) 359-3878
Mailing address
449 E 2100 S, SALT LAKE CITY, UT 84115-2237
(801) 596-2111
(801) 359-3878
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
337254
TX
Other
Enumeration date
08/13/2024
Last updated
08/13/2024
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