SHAWNA JEAN GILLEN

SALT LAKE CITY, UT
NPI1922301183
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy251S00000X Community/Behavioral Health
Enumeration Date2010-12-09
Last Update Date2010-12-09
Business Address
-- SHAWNA JEAN GILLEN
660 S 200 E STE 308
SALT LAKE CITY, UT 84111-3853
Phone number: 801-355-2086
Mailing Address
-- SHAWNA JEAN GILLEN
355 DIMAGGIO DR
TOOELE, UT 84074-9297
Phone number: 801-355-2846