Individual
MRS. BRIANNE EVELYN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
151 S UNIVERSITY AVE STE 3200, PROVO, UT 84601-4427
(801) 851-7127
Mailing address
151 S UNIVERSITY AVE STE 3200, PROVO, UT 84601-4427
(801) 851-7127
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/16/2013
Last updated
04/16/2013
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