Tanner Derek Nephi Johnson

NPI #1992509277 in Midvale, Utah

Provider Information

NPI Number
1992509277
Entity Type
Individual
Name
Tanner Derek Nephi Johnson
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Student in an Organized Health Care Education/Training Program
Enumeration Date
Apr 3, 2025
Last Updated
Apr 3, 2025

Practice Location

Address
1205 E WATERSIDE CV APT 23
State
Utah
ZIP Code
84047-4273
Phone
(801) 913-6730

Specialties & Taxonomy Codes

Specialty
Student in an Organized Health Care Education/Training Program

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