Individual
KEYASHA AALIYAH HOOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
222 S MAIN ST STE 500, SALT LAKE CITY, UT 84101-2275
(505) 382-2776
Mailing address
4905 MCBRIDE ST, TACOMA, WA 98407-4207
(864) 363-7080
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP61610310
WA
Other
Enumeration date
10/22/2024
Last updated
10/22/2024
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