BLAISE MARURI MENDENHALL

OGDEN, UT
NPI1922519404
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101Y00000X Counselor
Additional Taxonomies171M00000X Case Manager/Care Coordinator
Enumeration Date2017-10-24
Last Update Date2022-09-23
Business Address
BLAISE MARURI MENDENHALL
237 26TH ST
OGDEN, UT 84401-3105
Phone number: 801-625-3700
Mailing Address
BLAISE MARURI MENDENHALL
237 26TH ST
OGDEN, UT 84401-3105
Phone number: 801-625-3700