FANTAISHA TONIMARIE SHIELDS

SALT LAKE CITY, UT
NPI1437857521
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2023-02-20
Last Update Date2023-02-20
Business Address
FANTAISHA TONIMARIE SHIELDS
344 E 100 S
SALT LAKE CITY, UT 84111-1700
Phone number: 801-322-3222
Mailing Address
FANTAISHA TONIMARIE SHIELDS
344 E 100 S
SALT LAKE CITY, UT 84111-1700
Phone number: