Individual
MR. BIJAN HOSSEINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4885 S 900 E, SUITE 210, SALT LAKE CITY, UT 84117-5746
(801) 634-8434
Mailing address
11263 S 1370 E, SANDY, UT 84092-5024
(801) 634-8434
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
9131002-4701
UT
Other
Enumeration date
04/19/2016
Last updated
04/19/2016
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