Individual
ALYSON LELANDAIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1020 S MAIN ST, SALT LAKE CITY, UT 84101-3176
(801) 536-6556
Mailing address
4460 S HIGHLAND DR, SALT LAKE CITY, UT 84124-3543
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/26/2018
Last updated
03/26/2018
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