Individual
ELIZA MINER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
77 N 1050 E, BOUNTIFUL, UT 84010-2943
(180) 198-0797
Mailing address
6592 W 10250 N, HIGHLAND, UT 84003-6721
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/17/2024
Last updated
04/17/2024
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