MINERVA ABELEDA DANTIS-TAN

SALT LAKE CITY, UT
NPI1164715124
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: UT  5291704-4405)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: UT  5291704-4405)
Enumeration Date2011-05-24
Last Update Date2021-03-25
Business Address
Mrs. MINERVA ABELEDA DANTIS-TAN FNP-BC
650 E 4500 S STE 210
SALT LAKE CITY, UT 84107-4520
Phone number: 801-288-2634
Mailing Address
Mrs. MINERVA ABELEDA DANTIS-TAN FNP-BC
650 E 4500 S STE 210
SALT LAKE CITY, UT 84107-4520
Phone number: 801-288-2634