AMANDA RUSSELL

TAYLORSVILLE, UT
NPI1205524147
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy374J00000X Doula
Additional Taxonomies246RP1900X Technician, Pathology Phlebotomy
(Licence: UT  UT-1533-16397)
Enumeration Date2023-04-28
Last Update Date2023-04-28
Business Address
AMANDA RUSSELL SBD, MSP
6278 S 3975 W
TAYLORSVILLE, UT 84129-1016
Phone number: 801-997-0977
Mailing Address
AMANDA RUSSELL SBD, MSP
6278 S 3975 W
TAYLORSVILLE, UT 84129-1016
Phone number: