Individual
MARIA DJ VILLAGRANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
589 S STATE ST, PROVO, UT 84606-5056
(801) 429-2000
Mailing address
589 S STATE ST, PROVO, UT 84606-5056
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
7970034-4405
UT
Other
Enumeration date
08/20/2020
Last updated
08/20/2020
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