Individual
MRS. JENICA TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT-BC
Contact information
Practice address
2156 E WINTER WAY, EAGLE MOUNTAIN, UT 84005-4279
(801) 707-7955
Mailing address
2156 E WINTER WAY, EAGLE MOUNTAIN, UT 84005-4279
(801) 707-7955
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
11729
UT
Other
Enumeration date
09/12/2016
Last updated
09/12/2016
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