Individual
VICTOR MANUEL TOLLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
10 S 2000 E, SALT LAKE CITY, UT 84112-5880
(801) 413-9222
Mailing address
7059 W ADDISON VIEW LN, WEST JORDAN, UT 84081-5983
(801) 413-9222
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11099798-4405
UT
Other
Enumeration date
04/26/2023
Last updated
11/09/2024
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