Organization
ELISA K PIERCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELISA PIERCE (OWNER)
(385) 955-1772
Entity
Organization
Contact information
Practice address
4525 S 2300 E STE 102, HOLLADAY, UT 84117-4682
(385) 955-1772
Mailing address
4525 S 2300 E STE 102, HOLLADAY, UT 84117-4682
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/05/2021
Last updated
05/05/2021
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