Individual
MIA POPERNACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6856 S 700 E, MIDVALE, UT 84047-1361
(888) 949-4864
Mailing address
3725 W 4100 S STE 201, WEST VALLEY CITY, UT 84120-5427
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
F24-116440
UT
172V00000X
Community Health Worker
—
—
Other
Enumeration date
09/23/2024
Last updated
08/08/2025
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