STEPHANIE G MISHENKO

SLC, UT
NPI1790396554
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171000000X Military Health Care Provider
Enumeration Date2020-08-13
Last Update Date2020-08-13
Business Address
STEPHANIE G MISHENKO
344E 100S
SLC, UT 84111
Phone number: 801-322-3222
Mailing Address
STEPHANIE G MISHENKO
344E 100S
SLC, UT 84111
Phone number: 801-322-3222