Individual
MRS. MARIA E KOONTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
STUDENT
Contact information
Practice address
25 S 300 E, BRIGHAM CITY, UT 84302-2655
(520) 397-4441
Mailing address
25 S 300 E, BRIGHAM CITY, UT 84302-2655
(520) 397-4441
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/26/2025
Last updated
03/26/2025
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