Individual
TAYA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
280 E 600 S, SALT LAKE CITY, UT 84111-3564
(801) 538-2069
Mailing address
3725 W 4100 S STE 201, WEST VALLEY CITY, UT 84120-5427
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
F24-110007
UT
Other
Enumeration date
01/07/2022
Last updated
01/17/2024
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