Individual
EVELIN NICOLLE MATUTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6910 S HIGHLAND DR, SALT LAKE CITY, UT 84121-3060
(801) 308-9113
Mailing address
668 W ASPEN HILLS BLVD, SARATOGA SPRINGS, UT 84045-6603
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/22/2020
Last updated
05/22/2020
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