Individual
NANCI JANE MAVILIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1264 N CEDAR BLVD APT B202, CEDAR CITY, UT 84721-8939
(720) 645-6079
Mailing address
124 S 400 E STE 335, SALT LAKE CITY, UT 84111-5316
(801) 433-2595
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
04/22/2021
Last updated
04/22/2021
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