SAMANTHA LEE PROVENZANO

SALT LAKE CITY, UT
NPI1912538109
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2020-01-28
Last Update Date2020-01-28
Business Address
SAMANTHA LEE PROVENZANO
4460 S HIGHLAND DR STE 210
SALT LAKE CITY, UT 84124-3550
Phone number: 888-949-4864
Mailing Address
SAMANTHA LEE PROVENZANO
4460 S HIGHLAND DR STE 210
SALT LAKE CITY, UT 84124-3550
Phone number: 888-949-4864
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