Individual
ERICANDRE ANJOUNIQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
42 N 200 E STE 1, AMERICAN FORK, UT 84003-1739
(801) 396-8850
Mailing address
8043 N RIDGE LOOP E APT J9, EAGLE MOUNTAIN, UT 84005-4648
(435) 709-5222
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
6145683-4701
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6145683-4701
HTTPS://DOPL.UTAH.GOV/
UT
Enumeration date
04/19/2019
Last updated
06/11/2019
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