Individual
BILLIE JO BURNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IRI
Contact information
Practice address
1429 N 1200 W, OREM, UT 84057-2449
(801) 420-0089
Mailing address
1429 N 1200 W, OREM, UT 84057-2449
(801) 420-0089
(801) 607-1279
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
151526
CA
Other
Enumeration date
08/28/2019
Last updated
08/28/2019
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