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Marisa Mendez

Community Health Worker in Murray, UT. Individual provider (NPI-1).

NPI number1982257515
StatusActive
Last updated in NPPESJul 23, 2019

Details

NPI
1982257515
Entity type
Individual (NPI-1)
Name
Marisa Mendez
Sex
Female
Sole proprietor
No
Enumeration date
Jul 23, 2019
Last updated
Jul 23, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172V00000X Community Health Worker––Yes

Practice location

697 W 4170 S
Murray, UT 84123-1326

Phone 801-261-9177

Mailing address

697 W 4170 S
Murray, UT 84123-1326

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