Individual
JENNIFER BORRUSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5009 W GREENSTREAK DR, RIVERTON, UT 84096-6959
(517) 919-0049
Mailing address
5009 W GREENSTREAK DR, RIVERTON, UT 84096-6959
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
—
—
Other
Enumeration date
08/30/2024
Last updated
08/30/2024
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