Individual
ANGELLA MENDENHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPM, LDEM
Contact information
Practice address
659 S 1160 W, OREM, UT 84058-5908
(801) 427-8639
Mailing address
659 S 1160 W, OREM, UT 84058-5908
(801) 427-8639
Taxonomy
Speciality
Code
Description
License number
State
175M00000X
Lay Midwife
Primary
9643962-3400
UT
175M00000X
Lay Midwife
—
—
Other
Enumeration date
12/19/2019
Last updated
01/13/2020
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