Provider Demographics
NPI:1427458421
Name:BORANDI, JANENE ANN (DAC, LAC)
Entity type:Individual
Prefix:DR
First Name:JANENE
Middle Name:ANN
Last Name:BORANDI
Suffix:
Gender:F
Credentials:DAC, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:367 W FOSTER LN
Mailing Address - Street 2:
Mailing Address - City:IVINS
Mailing Address - State:UT
Mailing Address - Zip Code:84738-1314
Mailing Address - Country:US
Mailing Address - Phone:410-409-4449
Mailing Address - Fax:
Practice Address - Street 1:367 W FOSTER LN
Practice Address - Street 2:
Practice Address - City:IVINS
Practice Address - State:UT
Practice Address - Zip Code:84738-1314
Practice Address - Country:US
Practice Address - Phone:410-409-4449
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-26
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT9742251-1201171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist