Individual
RILEY KRISTINE BJAZEVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4095 E PONY EXPRESS PKWY STE 12, EAGLE MOUNTAIN, UT 84005-5531
(509) 539-6045
Mailing address
6234 W BIRCH RUN RD, SOUTH JORDAN, UT 84009-1277
(509) 539-6045
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/25/2023
Last updated
09/25/2023
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