Individual
NATHAN ROBERT JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3280 W 3500 S STE E, WEST VALLEY, UT 84119-2668
(801) 878-1351
Mailing address
3280 W 3500 S STE E, WEST VALLEY, UT 84119-2668
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
05/12/2022
Last updated
05/12/2022
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