Individual
ANGELICA A ECHIVERRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
122 E 1700 S BLDG 3, PROVO, UT 84606-5644
(385) 248-5550
Mailing address
7865 S BINGHAM JUNCTION BLVD UNIT D417, MIDVALE, UT 84047-4977
(214) 517-5865
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
14111771-9934
UT
152W00000X
Optometrist
OPC6261
FL
Other
Enumeration date
05/19/2023
Last updated
09/26/2024
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