Itzel Alejandra Meza Madeira

NPI #1972379923 in Provo, Utah

Provider Information

NPI Number: 1972379923
Entity Type: Individual
Name: Itzel Alejandra Meza Madeira
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Case Manager/Care Coordinator
Enumeration Date: Nov 30, 2023
Last Updated: Nov 30, 2023

Practice Location

Address: 750 N FREEDOM BLVD STE 300
City: Provo
State: Utah
ZIP Code: 84601-1690
Phone: (801) 373-4763

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X	Primary

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