Individual
BRITTNEY MARIANNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1959 N STATE ST, PROVO, UT 84604-1012
(801) 373-2001
Mailing address
3076 E CRUISE WAY, SALT LAKE CITY, UT 84109-3608
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9105624-1206
UT
Other
Enumeration date
08/28/2014
Last updated
08/28/2014
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