Individual
MS. MARY M. PANANOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1020 S MAIN ST, SUITE #300, SALT LAKE CITY, UT 84101-3176
(801) 536-6500
Mailing address
1020 S MAIN ST, SUITE #300, SALT LAKE CITY, UT 84101-3176
(801) 536-6500
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
2180613102
UT
Other
Enumeration date
01/27/2006
Last updated
03/17/2008
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