Individual
LILLEANA ZDENKA ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
27 S MARIO CAPECCHI DR, SALT LAKE CITY, UT 84112-5888
(801) 581-2711
Mailing address
1454 E FOXBORO DR UNIT 2, SALT LAKE CITY, UT 84106-4402
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
UT
Other
Enumeration date
07/20/2023
Last updated
07/20/2023
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