Individual
BERNICE BOONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
120 W 1300 S, SALT LAKE CITY, UT 84115-5230
(801) 486-4877
Mailing address
120 W 1300 S, SALT LAKE CITY, UT 84115-5230
(801) 486-4877
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/28/2025
Last updated
08/28/2025
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