Provider Demographics
NPI:1528812526
Name:ROYLANCE-FRANCO, JENIFER D (CPSS)
Entity type:Individual
Prefix:
First Name:JENIFER
Middle Name:D
Last Name:ROYLANCE-FRANCO
Suffix:
Gender:F
Credentials:CPSS
Other - Prefix:
Other - First Name:JENIFER
Other - Middle Name:D
Other - Last Name:ROYLANCE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 1061
Mailing Address - Street 2:
Mailing Address - City:LEHI
Mailing Address - State:UT
Mailing Address - Zip Code:84043-1198
Mailing Address - Country:US
Mailing Address - Phone:801-407-9998
Mailing Address - Fax:385-354-6539
Practice Address - Street 1:3784 W VALLEY VIEW DR
Practice Address - Street 2:
Practice Address - City:CEDAR HILLS
Practice Address - State:UT
Practice Address - Zip Code:84062-8085
Practice Address - Country:US
Practice Address - Phone:801-407-9998
Practice Address - Fax:385-354-6539
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-16
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT175T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist