Individual
ADRIANA VERGARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
670 N 360 W, OREM, UT 84057-8810
(760) 234-4477
Mailing address
670 N 360 W, OREM, UT 84057-8810
(760) 234-4477
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/09/2020
Last updated
12/09/2020
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