Individual
MRS. HALEY ERYN MAIRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
100 N MARIO CAPECCHI DR, SLC, UT 84113-1103
(801) 662-5566
Mailing address
12439 S 1700 E, DRAPER, UT 84020-9616
(180) 971-9571
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10984706-1206
UT
Other
Enumeration date
09/25/2018
Last updated
09/25/2018
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