Individual
ANNA BENNION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6013 S REDWOOD RD, TAYLORSVILLE, UT 84123-5220
(801) 255-5131
Mailing address
6013 S REDWOOD RD, TAYLORSVILLE, UT 84123-5220
(801) 255-5131
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/02/2022
Last updated
07/28/2022
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