Individual
YURI KUBOTERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
344 E 100 S, SLC, UT 84111-1700
(801) 322-3222
Mailing address
344 E 100 S, SLC, UT 84111-1700
(801) 322-3222
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10221037-4405
UT
Other
Enumeration date
01/01/2021
Last updated
06/18/2021
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