MISTY LEE ITALASANO

SALT LAKE CITY, UT
NPI1396200598
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies172V00000X Community Health Worker
Enumeration Date2019-02-01
Last Update Date2019-11-26
Business Address
MISTY LEE ITALASANO
4460 S HIGHLAND DR STE 210
SALT LAKE CITY, UT 84124-3550
Phone number: 888-949-4864
Mailing Address
MISTY LEE ITALASANO
4460 S HIGHLAND DR STE 210
SALT LAKE CITY, UT 84124-3550
Phone number: 888-949-4864
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