Provider Demographics
NPI:1285342527
Name:HOSKINS, LONDON ALLETSE
Entity type:Individual
Prefix:
First Name:LONDON
Middle Name:ALLETSE
Last Name:HOSKINS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6920 S CONEFLOWER CT
Mailing Address - Street 2:
Mailing Address - City:WEST JORDAN
Mailing Address - State:UT
Mailing Address - Zip Code:84081-5316
Mailing Address - Country:US
Mailing Address - Phone:385-271-2751
Mailing Address - Fax:
Practice Address - Street 1:6920 S CONEFLOWER CT
Practice Address - Street 2:
Practice Address - City:WEST JORDAN
Practice Address - State:UT
Practice Address - Zip Code:84081-5316
Practice Address - Country:US
Practice Address - Phone:385-271-2751
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-07
Last Update Date:2022-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker