Elise Burton Johnson
Elise Burton Johnson is a Student in an Organized Health Care Education/Training Program in Provo, Utah. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
589 S State StProvo, UT 84606-5056
Phone: (801) 855-0124
Fax: (801) 429-2001
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1588485593 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | October 22, 2024 |
| Last updated in NPPES | October 22, 2024 |
| Certification date | October 22, 2024 |
| Mailing address | 589 S State St, Provo, UT 84606-5056 |
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