LASAMOA ELLIS

SALT LAKE CITY, UT
NPI1568053494
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2021-02-02
Last Update Date2021-02-02
Business Address
LASAMOA ELLIS
4460 S HIGHLAND DR
SALT LAKE CITY, UT 84124-3543
Phone number: 888-949-4864
Mailing Address
LASAMOA ELLIS
4460 S HIGHLAND DR
SALT LAKE CITY, UT 84124-3543
Phone number: 888-949-4864