Individual
CRISSI LEIANN WILLARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3895 W 7800 S STE 100, WEST JORDAN, UT 84088-5616
(801) 309-6048
(801) 748-2790
Mailing address
3895 W 7800 S STE 100, WEST JORDAN, UT 84088-5616
(801) 309-6048
(801) 748-2790
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4496
AZ
Other
Enumeration date
09/29/2009
Last updated
11/28/2019
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