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Individual

MAYRA ESTRADA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, BSN

Contact information

Practice address
181 E MEDICAL TOWER DR FL 2, MURRAY, UT 84107-4872
(801) 314-4500
(801) 314-2909
Mailing address
181 E MEDICAL TOWER DR FL 2, MURRAY, UT 84107-4872
(801) 314-4500
(801) 314-2909

Taxonomy

Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
6306781-3102
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
163WD0400X
TAXONOMY CODE
Enumeration date
12/13/2019
Last updated
12/13/2019
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