Individual
ANJELICA MONTESDEOCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2655 S LAKE ERIE DR, WEST VALLEY CITY, UT 84120-7350
(385) 441-4900
Mailing address
1159 RUSHTON ST, OGDEN, UT 84401-0721
(801) 603-0874
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/16/2020
Last updated
10/16/2020
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