Individual
PEDRO LEONARDO PEREZ AQUINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
1141 N 1125 W, OREM, UT 84057-2882
(801) 921-1766
Mailing address
1141 N 1125 W, OREM, UT 84057-2882
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
11437478-3902
UT
Other
Enumeration date
09/18/2019
Last updated
07/24/2023
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