Individual
VANESSA L MOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MAOM, L.AC.
Contact information
Practice address
34 S 500 E STE 202, SALT LAKE CITY, UT 84102-1094
(801) 582-2011
Mailing address
3351 S EL SERRITO DR, SALT LAKE CITY, UT 84109-4249
(267) 255-2299
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
12165069-1201
UT
Other
Enumeration date
04/27/2021
Last updated
04/27/2021
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