Individual
MEGAN MARIE DESTROMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5667 S REDWOOD RD, TAYLORSVILLE, UT 84123-5433
(801) 712-0274
Mailing address
7081 S GREENSAND DR, WEST JORDAN, UT 84084-5757
(801) 712-0274
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
07/19/2017
Last updated
07/19/2017
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