RAQUE; BAIZA

SLC, UT
NPI1912352550
Professional NameRAQUEL BAIZA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
Enumeration Date2016-05-02
Last Update Date2016-05-02
Business Address
-- RAQUE; BAIZA
532 N DEXTER ST APT 3
SLC, UT 84116-2780
Phone number: 801-808-1389
Mailing Address
-- RAQUE; BAIZA
532 N DEXTER ST APT 3
SLC, UT 84116-2780
Phone number: 801-808-1389
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