Individual
KANEISHA MARIE JULIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPSS
Contact information
Practice address
980 E CENTER ST, OREM, UT 84097-4970
(385) 208-2844
Mailing address
980 E CENTER ST, OREM, UT 84097-4970
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
UT
Other
Enumeration date
08/01/2022
Last updated
08/01/2022
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