Individual
MEREDITH LEIGH MAZILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6771 S 900 E, MIDVALE, UT 84047-1436
(801) 386-9799
Mailing address
6771 S 900 E, MIDVALE, UT 84047-1436
(801) 386-9799
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
UT
Other
Enumeration date
09/09/2019
Last updated
09/09/2019
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