SHALISSA LYNDZIE FELLOWS

HERRIMAN, UT
NPI1881248433
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Additional Taxonomies172V00000X Community Health Worker
Enumeration Date2019-07-31
Last Update Date2019-07-31
Business Address
SHALISSA LYNDZIE FELLOWS
13947 S NEWBURG DR
HERRIMAN, UT 84096-6787
Phone number: 801-506-6695
Mailing Address
SHALISSA LYNDZIE FELLOWS
13947 S NEWBURG DR
HERRIMAN, UT 84096-6787
Phone number: