GITA ENTEZAM

SALT LAKE CITY, UT
NPI1538116504
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: UT  152501-1701)
Enumeration Date2006-05-27
Last Update Date2015-11-16
Business Address
-- GITA ENTEZAM
1525 W 2100 S
SALT LAKE CITY, UT 84119-1401
Phone number: 801-213-9950
Mailing Address
-- GITA ENTEZAM
5367 HILLSDEN DR
SALT LAKE CITY, UT 84117-7741
Phone number: 801-272-7263