MIOSOTIS JOSEFINA HARRISON

WEST VALLEY CITY, UT
NPI1174213060
Former NameMIOSOTIS JOSEFINA VALENZUELA JIMINIAN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: PR  16827)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2023-05-12
Last Update Date2026-06-22
Business Address
MIOSOTIS JOSEFINA HARRISON MD
2965 W 3500 S
WEST VALLEY CITY, UT 84119-3602
Phone number: 801-965-3600
Mailing Address
MIOSOTIS JOSEFINA HARRISON MD
PO BOX 70658
SALT LAKE CITY, UT 84170-0658
Phone number: 801-965-3600