ANNIE ULLOA

MURRAY, UT
NPI1942928957
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207N00000X Dermatology
(Licence: UT  12620200-1109)
Enumeration Date2022-08-16
Last Update Date2022-08-16
Business Address
ANNIE ULLOA
243 E 6100 S
MURRAY, UT 84107-7302
Phone number: 801-581-2955
Mailing Address
ANNIE ULLOA
243 E 6100 S
MURRAY, UT 84107-7302
Phone number: 801-581-2955