Individual
ELVIRA YRAID RUBIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
177 W PRICE AVE, SOUTH SALT LAKE, UT 84115-4345
(385) 707-6666
Mailing address
267 E VISTA OAKS LN APT 203, DRAPER, UT 84020-5220
(385) 707-6666
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
05/16/2024
Last updated
05/16/2024
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