Fanny Luz Egan
NPI #1619565686 in West Jordan, Utah
Provider Information
- NPI Number
- 1619565686
- Entity Type
- Individual
- Name
- Fanny Luz Egan
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Jan 6, 2021
- Last Updated
- Jan 6, 2021
Practice Location
- Address
- 7625 S 3200 W STE 2
- City
- West Jordan
- State
- Utah
- ZIP Code
- 84084-2887
- Phone
- (801) 915-0359
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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