Individual
AMANDA ALVISO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
697 W 4170 S, MURRAY, UT 84123-1326
(801) 363-9400
Mailing address
697 W 4170 S, MURRAY, UT 84123-1326
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
02/06/2019
Last updated
02/06/2019
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