Individual
AMANDA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
763 N 1650 W, SPRINGVILLE, UT 84663-5066
(801) 704-3035
Mailing address
763 N 1650 W, SPRINGVILLE, UT 84663-5066
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
51388613102
UT
Other
Enumeration date
10/02/2018
Last updated
10/02/2018
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