JAXON THOMAS BONANNO

SALT LAKE CITY, UT
NPI1548059314
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2025-05-06
Last Update Date2025-05-06
Business Address
JAXON THOMAS BONANNO
117 W 400 S
SALT LAKE CITY, UT 84101-1916
Phone number: 801-428-4257
Mailing Address
JAXON THOMAS BONANNO
117 W 400 S
SALT LAKE CITY, UT 84101-1916
Phone number: 801-428-4257
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