Individual
ESTEFANIA CRUZ REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
934 S MAIN ST, LAYTON, UT 84041-7135
(801) 336-1845
Mailing address
934 S MAIN ST, LAYTON, UT 84041-7135
(951) 235-8995
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
9265246-3101
UT
Other
Enumeration date
10/04/2023
Last updated
10/04/2023
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