AMELIA DE COSTA

SALT LAKE CITY, UT
NPI1063656601
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: HI  SP-1050)
Enumeration Date2009-04-27
Last Update Date2009-04-27
Business Address
-- AMELIA DE COSTA
1952 E 7000 S STE 100
SALT LAKE CITY, UT 84121-6878
Phone number: 801-942-3311
Mailing Address
-- AMELIA DE COSTA
PO BOX 711185
SALT LAKE CITY, UT 84171-1185
Phone number: 801-942-3311
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