Individual
ALISSA GEONZON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
196 W VINE ST APT A509, SALT LAKE CITY, UT 84107-5430
(808) 728-9181
Mailing address
196 W VINE ST APT A509, SALT LAKE CITY, UT 84107-5430
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
UT
Other
Enumeration date
11/10/2025
Last updated
11/10/2025
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