Individual
JENNE-LEE CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1228 S 900 E, SALT LAKE CITY, UT 84105-1326
(801) 883-5378
Mailing address
3725 W 4100 S STE 201, WEST VALLEY CITY, UT 84120-5427
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
F24-114585
—
Other
Enumeration date
06/12/2024
Last updated
08/28/2024
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