Samantha Lee Provenzano
Samantha Lee Provenzano is a Case Manager/Care Coordinator in Salt Lake City, Utah. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
4460 S Highland Dr Ste 210Salt Lake City, UT 84124-3550
Phone: (888) 949-4864
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
|---|
Record details
| NPI number | 1912538109 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | January 28, 2020 |
| Last updated in NPPES | January 28, 2020 |
| Certification date | January 28, 2020 |
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