Individual
BLANCA ESTELA FUERTES SANCHEZ CEBALLOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
177 W PRICE AVE, SOUTH SALT LAKE, UT 84115-4345
(801) 503-4369
Mailing address
3884 W HUMMINGBIRD WAY, WEST VALLEY, UT 84120-5461
(801) 503-4369
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
01/05/2026
Last updated
01/05/2026
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