Individual
EDWIN ETCHU NYAMBI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
501 S CHIPETA WAY, SALT LAKE CITY, UT 84108-1222
(801) 583-2500
Mailing address
1670 W BUNBURY LN APT 1117, SALT LAKE CITY, UT 84104-3196
(801) 906-9021
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7119021-1206
UT
Other
Enumeration date
09/29/2018
Last updated
11/09/2021
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