Individual
HOLLY BINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1371 N 1075 W STE 2, FARMINGTON, UT 84025-2877
(801) 205-0626
Mailing address
1871 FARMINGTON HOLLOW CIR, FARMINGTON, UT 84025-2969
(801) 205-0626
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
52683084701
UT
Other
Enumeration date
06/26/2017
Last updated
06/26/2017
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