Individual
MRS. TERESA ELIZABETH SALAZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1726 BUCKLEY LN, PROVO, UT 84606-5031
(801) 375-9222
Mailing address
1726 BUCKLEY LN, PROVO, UT 84606-5031
(801) 375-9222
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
324500000X
UT
324500000X
Substance Abuse Rehabilitation Facility
—
UT
Other
Enumeration date
01/24/2012
Last updated
01/24/2012
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