Provider Demographics
NPI:1104384932
Name:FRANCOM, JULIE (CLD-CBI)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:
Last Name:FRANCOM
Suffix:
Gender:F
Credentials:CLD-CBI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1819 S 900 W
Mailing Address - Street 2:
Mailing Address - City:LEHI
Mailing Address - State:UT
Mailing Address - Zip Code:84043-5611
Mailing Address - Country:US
Mailing Address - Phone:435-503-0808
Mailing Address - Fax:
Practice Address - Street 1:1819 S 900 W
Practice Address - Street 2:
Practice Address - City:LEHI
Practice Address - State:UT
Practice Address - Zip Code:84043-5611
Practice Address - Country:US
Practice Address - Phone:435-503-0808
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-11
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula