Individual
TAELOR LEONELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
151 N MAIN ST, TOOELE, UT 84074-2141
(435) 277-2300
(435) 277-2304
Mailing address
151 N MAIN ST, TOOELE, UT 84074-2141
(435) 277-2300
(435) 277-2304
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
11579633-3102
UT
Other
Enumeration date
06/10/2020
Last updated
06/10/2020
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