MAYRA IBETH VENCES

SALT LAKE CITY, UT
NPI1841844057
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: UT  82272178-4405)
Enumeration Date2019-07-25
Last Update Date2019-07-25
Business Address
MAYRA IBETH VENCES NP-C
1146 N ANTILLES DR
SALT LAKE CITY, UT 84116-4656
Phone number: 801-673-8082
Mailing Address
MAYRA IBETH VENCES NP-C
1146 N ANTILLES DR
SALT LAKE CITY, UT 84116-4656
Phone number: 801-673-8082
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