Individual
MENERVA YOLE-LOBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3690 S MAIN ST, SOUTH SALT LAKE, UT 84115-4423
(801) 587-2525
(801) 261-0503
Mailing address
158 W THISTLE DR, SARATOGA SPRINGS, UT 84045-6592
(775) 544-3111
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
363A00000X
Physician Assistant
Primary
11989340-1206
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/21/2012
Last updated
08/27/2023
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