| NPI | 1063120020 |
|---|---|
| Doing Business As | MIKKADESH MENTAL HEALTHCARE LLC |
| Entity Type | Organization |
| Authorized Contact | VERONICA ABEH FORCHU President/Administrator 801-649-7584 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2022-11-09 |
| Last Update Date | 2022-11-09 |