SAMUEL ALEXANDER MENJIVAR

PROVO, UT
NPI1043891708
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2021-04-15
Last Update Date2021-04-15
Business Address
SAMUEL ALEXANDER MENJIVAR
750 N FREEDOM BLVD
PROVO, UT 84601-1677
Phone number: 801-373-9656
Mailing Address
SAMUEL ALEXANDER MENJIVAR
750 N FREEDOM BLVD
PROVO, UT 84601-1677
Phone number: 801-373-9656
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