Individual
MONIQUE G MILIUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3186 MELBOURNE ST, SALT LAKE CITY, UT 84106-3951
(801) 647-8158
Mailing address
3186 MELBOURNE ST, SALT LAKE CITY, UT 84106-3951
(801) 647-8158
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
354657-4701
UT
Other
Enumeration date
12/14/2009
Last updated
12/14/2009
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