Individual
ERNA SEREZLIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
295 S CHIPETA WAY, SALT LAKE CITY, UT 84108-1287
(248) 514-1760
Mailing address
1042 W STATE CIR, SALT LAKE CITY, UT 84104-1362
(801) 635-6879
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7949549-4701
UT
Other
Enumeration date
04/05/2017
Last updated
04/05/2017
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