Individual
JOSEPH MICHAEL LLAVINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
721 E 12200 S STE 101, DRAPER, UT 84020-9723
(801) 369-8989
(801) 704-9741
Mailing address
721 E 12200 S STE 101, DRAPER, UT 84020-9723
(801) 369-8989
(801) 704-9741
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11971082-1206
UT
Other
Enumeration date
06/28/2020
Last updated
02/09/2023
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