Individual
JESSICA MARIE MESQUITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7434 S STATE ST, MIDVALE, UT 84047-2014
(801) 456-9955
Mailing address
7434 S STATE ST, MIDVALE, UT 84047-2014
(801) 456-9955
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/08/2023
Last updated
03/08/2023
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