Individual
LETICIA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4487 W MANDY LEE CV, RIVERTON, UT 84096-7775
(727) 686-2464
Mailing address
4487 W MANDY LEE CV, RIVERTON, UT 84096-7775
(727) 686-2464
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
863869-4701
UT
Other
Enumeration date
05/06/2021
Last updated
05/06/2021
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