Individual
AVA ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
81 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1125
(801) 662-3601
Mailing address
1828 S 1100 E APT 2, SALT LAKE CITY, UT 84105-3462
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/09/2023
Last updated
08/09/2023
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