Individual
DANTZEL LILY PETERSEN-HANCEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
898 WYMOUNT TER # 898, PROVO, UT 84604-2092
(509) 760-1383
Mailing address
898 WYMOUNT TER # 898, PROVO, UT 84604-2092
(509) 760-1383
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
UT
Other
Enumeration date
06/11/2026
Last updated
06/11/2026
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