Individual
DENNIQA RAY NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
307 E 400 N, TOOELE, UT 84074-1844
(801) 441-9488
Mailing address
307 E 400 N, TOOELE, UT 84074-1844
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/03/2019
Last updated
07/09/2019
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