Individual
JOHNATHAN FLORES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
237 26TH ST, OGDEN, UT 84401-3105
(801) 625-3700
(801) 625-3615
Mailing address
237 26TH ST, OGDEN, UT 84401-3105
(801) 625-3700
(801) 625-3615
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
876000308007
—
UT
Enumeration date
12/18/2015
Last updated
12/18/2015
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