Individual
ELSA ZEPEDA-CASILLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1435 UNIVERSITY BLVD, DEPT. 2805, OGDEN, UT 84408-0001
(801) 626-6000
Mailing address
1450 N WASHINGTON BLVD, TRLR 139, OGDEN, UT 84404-3200
(801) 678-0279
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
11/02/2015
Last updated
11/02/2015
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