ALINA ERENNE WILSON

IVINS, UT
NPI1235631359
Former NameALINA ERENNE TRUJILLO
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: UT  10215238-4202)
Enumeration Date2018-03-05
Last Update Date2018-03-05
Business Address
ALINA ERENNE WILSON
160 N 200 E
IVINS, UT 84738-6100
Phone number: 435-634-5220
Mailing Address
ALINA ERENNE WILSON
206 N 2100 W
SALT LAKE CITY, UT 84116-4740
Phone number: