Keanon Coushawn Battle
NPI #1417774050 in Salt Lake City, Utah
Provider Information
- NPI Number
- 1417774050
- Entity Type
- Individual
- Name
- Keanon Coushawn Battle
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse's Aide
- Enumeration Date
- Sep 24, 2024
- Last Updated
- Sep 24, 2024
Practice Location
- Address
- 2020 S 1300 E STE C
- City
- Salt Lake City
- State
- Utah
- ZIP Code
- 84105-3664
- Phone
- (801) 401-3515
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse's Aide |
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