Individual
TALYA MATHESON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1866 S 2725 W, WEST HAVEN, UT 84401-5100
(801) 644-2864
Mailing address
1866 S 2725 W, WEST HAVEN, UT 84401-5100
(801) 644-2864
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
10/21/2014
Last updated
10/21/2014
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