Individual
RYAN HIDALGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SUDC
Contact information
Practice address
523 HERITAGE PARK BLVD STE 4, LAYTON, UT 84041-5611
(801) 251-7251
Mailing address
523 HERITAGE PARK BLVD STE 4, LAYTON, UT 84041-5611
(801) 251-7251
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/24/2019
Last updated
06/24/2019
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