Provider Demographics
NPI:1073953071
Name:MERKLEY, MARLAYNA XIOMARA
Entity Type:Individual
Prefix:
First Name:MARLAYNA
Middle Name:XIOMARA
Last Name:MERKLEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MARLAYNA
Other - Middle Name:XIOMARA
Other - Last Name:LEBARON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:934 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:LAYTON
Mailing Address - State:UT
Mailing Address - Zip Code:84041-7135
Mailing Address - Country:US
Mailing Address - Phone:801-546-1168
Mailing Address - Fax:801-544-0770
Practice Address - Street 1:934 S MAIN ST
Practice Address - Street 2:
Practice Address - City:LAYTON
Practice Address - State:UT
Practice Address - Zip Code:84041-7135
Practice Address - Country:US
Practice Address - Phone:801-546-1168
Practice Address - Fax:801-544-0770
Is Sole Proprietor?:No
Enumeration Date:2013-07-05
Last Update Date:2016-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker