Tip Bounyasane
NPI #1285409565 in West Jordan, Utah
Provider Information
- NPI Number
- 1285409565
- Entity Type
- Individual
- Name
- Tip Bounyasane
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Nov 16, 2023
- Last Updated
- Dec 30, 2025
Practice Location
- Address
- 7901 S 3200 W # 632
- City
- West Jordan
- State
- Utah
- ZIP Code
- 84088-5226
- Phone
- (801) 556-4037
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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