CORLISS REYNOLDS

SALT LAKE CITY, UT
NPI1639576978
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: UT  4775745-4405)
Enumeration Date2014-12-02
Last Update Date2014-12-02
Business Address
-- CORLISS REYNOLDS APRN
215 S STATE ST SUITE 110
SALT LAKE CITY, UT 84111-2319
Phone number: 801-441-1002
Mailing Address
-- CORLISS REYNOLDS APRN
3072 W SWEET BLOSSOM DR
SOUTH JORDAN, UT 84095-3208
Phone number: