MICHAELA ANTJE SQUIRE

SALT LAKE CITY, UT
NPI1376164061
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2084E0001X Psychiatry & Neurology, Epilepsy
(Licence: UT  14212907-1204)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
(Licence: NC  261938)
Enumeration Date2020-05-04
Last Update Date2025-03-24
Business Address
MICHAELA ANTJE SQUIRE DO
81 N MARIO CAPECCHI DR RM 4B096
SALT LAKE CITY, UT 84113-1125
Phone number: 801-581-2121
Mailing Address
MICHAELA ANTJE SQUIRE DO
81 N MARIO CAPECCHI DR RM 4B096
SALT LAKE CITY, UT 84113-1125
Phone number: 801-581-2121