Individual
ALYXANDRA BOLTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12222 S 1000 E, DRAPER, UT 84020-8278
(801) 987-3592
Mailing address
4062 W SHADY PLUM WAY, SOUTH JORDAN, UT 84009-3908
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/24/2017
Last updated
08/24/2017
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