Individual
ZOE TESS RALEIGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
295 S CHIPETA WAY, SALT LAKE CITY, UT 84108-1287
(801) 587-7400
Mailing address
2657 W KELLY RD, NEWBURY PARK, CA 91320-3830
(805) 551-5463
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
9164166-1205
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
03/22/2013
Last updated
11/12/2021
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