AMIE MIQUELLE BLACK

WEST JORDAN, UT
NPI1225429590
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy174400000X Specialist
Enumeration Date2015-02-09
Last Update Date2015-02-09
Business Address
AMIE MIQUELLE BLACK
1990 W 7800 S
WEST JORDAN, UT 84088-4025
Phone number: 801-748-1229
Mailing Address
AMIE MIQUELLE BLACK
4444 S 700 E STE 203
MURRAY, UT 84107-3075
Phone number: 801-268-4887