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Monique Johnatakis

Community Health Worker in Layton, UT. Individual provider (NPI-1).

NPI number1669974440
StatusActive
Last updated in NPPESMar 7, 2018

Details

NPI
1669974440
Entity type
Individual (NPI-1)
Name
Monique Johnatakis
Sex
Female
Sole proprietor
No
Enumeration date
Mar 7, 2018
Last updated
Mar 7, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172V00000X Community Health Worker––Yes

Practice location

934 S Main St
Layton, UT 84041-7135

Phone 801-773-7060

Mailing address

934 S Main St
Layton, UT 84041-7135

Phone 801-773-7060

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