Individual
NATHAN MORONI CLAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1425 W 2280 S, WEST VALLEY CITY, UT 84119-1413
(484) 477-8866
Mailing address
PO BOX 745, MOUNTAIN GRV, MO 65711-0745
(484) 477-8866
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
14104587-4701
UT
Other
Enumeration date
11/04/2024
Last updated
11/04/2024
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