IndividualActive
Alissa Geonzon
NPI 1376413716 · Student in an Organized Health Care Education/Training Program · Salt Lake City, UT
Provider details
- NPI number
- 1376413716
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Student, Health Care
Practice location
196 W Vine St Apt A509
Salt Lake City, UT 84107-5430
Phone: (808) 728-9181
Approximate (ZIP-level) locationGet directions
Mailing address
196 W Vine St Apt A509
Salt Lake City, UT 84107-5430
Registry dates
- Enumerated
- 2025-11-10
- Last updated
- 2025-11-10
- Certified
- 2025-11-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.