Individual
JUANITA DEGREGORIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4170 S PARK GREEN DR, WEST VALLEY, UT 84120-5230
(843) 694-3983
Mailing address
4170 S PARK GREEN DR, WEST VALLEY, UT 84120-5266
(843) 694-3983
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
UT
Other
Enumeration date
04/05/2023
Last updated
04/05/2023
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