Individual
DIXY ESCALANTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
124 S 400 E STE 335, SALT LAKE CITY, UT 84111-5316
(801) 433-2595
Mailing address
124 S 400 E STE 335, SALT LAKE CITY, UT 84111-5316
(801) 433-2595
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
05/07/2014
Last updated
09/14/2021
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