Individual
SASHA VELASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1020 S MAIN ST STE 100, SALT LAKE CITY, UT 84101-3194
(801) 539-7000
Mailing address
4460 S HIGHLAND DR STE 120, SALT LAKE CITY, UT 84124-3550
(888) 949-4864
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
F23-108743
UT
172V00000X
Community Health Worker
—
UT
Other
Enumeration date
08/28/2023
Last updated
11/29/2023
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