Individual
TERESA ZAVALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6169 W RIDGE MESA CIR, WEST VALLEY CITY, UT 84128-5638
(801) 918-9122
(801) 213-4837
Mailing address
5126 W DAYBREAK PKWY, SOUTH JORDAN, UT 84009-5994
(801) 213-5238
(801) 213-4837
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
10775076-1109
UT
Other
Enumeration date
04/10/2019
Last updated
04/10/2019
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