Individual
MS. JUANITA ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3451 S 5600 W, SUITE E, WEST VALLEY CITY, UT 84120-1301
(801) 963-1880
(801) 963-1886
Mailing address
2255 S. HAMMIBAL, SALT LAKE CITY, UT 84106
(801) 963-1880
(801) 963-1886
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2083974405
UT
Other
Enumeration date
02/27/2007
Last updated
07/08/2007
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