JOLENE LALLISS JOHNSON

SALT LAKE CITY, UT
NPI1336322627
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LN0000X Nurse Practitioner, Neonatal
(Licence: UT  3221574405)
Enumeration Date2007-12-10
Last Update Date2007-12-10
Business Address
Mrs. JOLENE LALLISS JOHNSON N.N.P.
100 N MEDICAL DR
SALT LAKE CITY, UT 84113-1103
Phone number: 801-662-4100
Mailing Address
Mrs. JOLENE LALLISS JOHNSON N.N.P.
583 N 200 E
BOUNTIFUL, UT 84010-4642
Phone number: 801-296-2624