JEFFERY ROLLA LANDIS

SLC, UT
NPI1558177949
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy175T00000X Peer Specialist
Additional Taxonomies171M00000X Case Manager/Care Coordinator
Enumeration Date2024-12-10
Last Update Date2024-12-10
Business Address
JEFFERY ROLLA LANDIS
1875 S REDWOOD RD
SLC, UT 84104-5112
Phone number: 801-355-2846
Mailing Address
JEFFERY ROLLA LANDIS
1875 S REDWOOD RD
SLC, UT 84104-5112
Phone number: