Individual
JESENIA MICHELLE RIVERA PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2872 S HIGHLAND DR, SALT LAKE CITY, UT 84106-3147
(801) 485-8051
Mailing address
2872 S HIGHLAND DR, SALT LAKE CITY, UT 84106-3147
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
01/24/2020
Last updated
01/24/2020
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