Individual
NOEMY MIJARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3450 S 900 W, SOUTH SALT LAKE, UT 84119-4104
(801) 516-8244
Mailing address
195 N 1950 W, SALT LAKE CITY, UT 84116-3100
(801) 538-4001
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
UT
Other
Enumeration date
05/06/2020
Last updated
05/06/2020
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