Individual
ALYCIANNA THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5126 W DAYBREAK PKWY, SOUTH JORDAN, UT 84009-5994
(801) 213-5200
Mailing address
13992 S ROSALEEN LN, HERRIMAN, UT 84096-1750
Taxonomy
Speciality
Code
Description
License number
State
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
Primary
9380904-1109
UT
Other
Enumeration date
03/05/2018
Last updated
03/05/2018
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