Individual
MACEY MARIAH DURRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5077 S SANDPIPER DR APT 562, HOLLADAY, UT 84117-4712
(763) 221-8373
Mailing address
5077 S SANDPIPER DR APT 562, HOLLADAY, UT 84117-4712
(763) 221-8373
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/03/2025
Last updated
03/03/2025
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