Tavia Alease Mims
Tavia Alease Mims is an Attendant Care Provider in Salt Lake City, Utah. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
814 W 800 S Apt CSalt Lake City, UT 84104-1491
Phone: (801) 657-2920
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Attendant Care Provider (primary) | Taxonomy 3747A0650X |
|---|
Record details
| NPI number | 1639890189 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | September 2, 2022 |
| Last updated in NPPES | September 2, 2022 |
| Certification date | September 2, 2022 |
| Mailing address | 814 W 800 S Apt C, Salt Lake City, UT 84104-1491 |
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