Individual
BLAKE MOLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
3378 W 3500 S, WEST VALLEY CITY, UT 84119-2630
(801) 966-0342
Mailing address
3378 W 3500 S, WEST VALLEY CITY, UT 84119-2630
(801) 966-0342
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6250645-1202
UT
Other
Enumeration date
11/09/2024
Last updated
11/09/2024
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