MR. Juan Carlos Grillo

NPI #1184089955 in Moroni, Utah

Provider Information

NPI Number: 1184089955
Entity Type: Individual
Name: MR. Juan Carlos Grillo
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Enumeration Date: Dec 22, 2015
Last Updated: Dec 22, 2015

Practice Location

Address: 4800 EAST 17160 NORTH
City: Moroni
State: Utah
ZIP Code: 84646-0028
Phone: (435) 436-5321

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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