Individual
MR. ADAM MYKEL DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3690 S ROTHCHILD CIR, WEST VALLEY CITY, UT 84119-4065
(801) 875-7008
Mailing address
3690 S ROTHCHILD CIR, WEST VALLEY CITY, UT 84119-4065
(801) 875-7008
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
UT000380851112
UT
Other
Enumeration date
01/06/2017
Last updated
01/06/2017
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