Individual
MARIAH ANN TREADWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2330 E FORT UNION BLVD, COTTONWOOD HEIGHTS, UT 84121-3339
(801) 308-1013
Mailing address
163 E MIDVILLAGE BLVD APT 406, SANDY, UT 84070-1290
(207) 740-7348
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11701316-1701
UT
390200000X
Student in an Organized Health Care Education/Training Program
PI46029
ME
Other
Enumeration date
04/12/2020
Last updated
08/31/2020
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