Individual
CHRYSTAL COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
344 E 100 S STE 301, SALT LAKE CITY, UT 84111-1727
(801) 322-4257
Mailing address
361 E 800 S APT E114, SALT LAKE CITY, UT 84111-4042
(385) 232-9081
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
08/31/2016
Last updated
08/31/2016
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