Individual
TISHA LEIGH ALVAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
9450 S STATE ST, SANDY, UT 84070-3213
(801) 565-2565
Mailing address
9450 S STATE ST, SANDY, UT 84070-3213
(801) 565-2565
Taxonomy
Speciality
Code
Description
License number
State
163WX0106X
Occupational Health Registered Nurse
Primary
B3320806
CA
Other
Enumeration date
11/09/2023
Last updated
11/09/2023
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