Individual
MISS ANGELICA DALEITZY RODRIGUEZ HERNANDEZ
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
954 N COLORADO ST, SALT LAKE CITY, UT 84116-3808
(801) 931-9202
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
01/12/2015
Last updated
01/12/2015
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