Individual
MIKENDA PEARL BUSIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
SOUTHWEST BEHAVIORAL HEALTH CENTER, 474 W 200 N SUITE 300, ST.GEORGE, UT 84770
(435) 634-5674
Mailing address
474 W 200 N, SUITE 300, ST. GEORGE, UT 84770
(435) 375-8698
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
06/09/2020
Last updated
11/23/2022
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