MADISON LEE JAMES

CENTERVILLE, UT
NPI1821717679
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: UT  12839605-3101)
Enumeration Date2022-08-24
Last Update Date2022-08-24
Business Address
MADISON LEE JAMES
692 W 2075 N
CENTERVILLE, UT 84014-2611
Phone number: 801-638-7595
Mailing Address
MADISON LEE JAMES
692 W 2075 N
CENTERVILLE, UT 84014-2611
Phone number: 801-638-7595