Individual
JUANITA VICTORIA ATENCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
344 E 100 S STE 301, SALT LAKE CITY, UT 84111-1727
(801) 322-4257
Mailing address
821 S EMERY ST, SALT LAKE CITY, UT 84104-2449
(801) 372-2599
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
09/15/2013
Last updated
09/15/2013
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