Individual
RUSTIE CHASTINA WAYNE-JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5485 S 3320 W, TAYLORSVILLE, UT 84129-7855
(801) 654-1868
Mailing address
5485 S 3320 W, TAYLORSVILLE, UT 84129-7855
(801) 654-1868
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/05/2014
Last updated
05/05/2014
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