Individual
CICILE M RIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1140 W 800 S #9, VERNAL, UT 84078
(435) 789-6300
(435) 789-6325
Mailing address
285 W 800 S, ROOSEVELT, UT 84066
(435) 725-6300
(435) 725-6325
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6797452-3904
UT
Other
Enumeration date
07/16/2010
Last updated
07/16/2010
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