Individual
ELISE VILLAROMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
836 N 1375 W, PROVO, UT 84604-3049
(801) 375-2523
Mailing address
299 N 200 W, BOUNTIFUL, UT 84010-7043
(018) 153-4438
(801) 683-8962
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
06/06/2018
Last updated
06/06/2018
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