Individual
SUZANNAH MIA MONTIERTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR:, CLT
Contact information
Practice address
269 S 230 E, OREM, UT 84058-5558
(801) 722-9673
Mailing address
269 S 230 E, OREM, UT 84058-5558
(801) 722-9673
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
282060
OR
Other
Enumeration date
02/21/2013
Last updated
02/21/2013
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