Individual
MRS. JO ANN PETRIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
100 S. UNIVERSITY AVE., 3200, PROVO, UT 84601
(801) 851-7127
(801) 851-7198
Mailing address
1060 E 275 N, OREM, UT 84097-5085
(801) 224-9532
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/06/2011
Last updated
04/06/2011
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