Individual
MRS. MARIA SAGRARIO CORDERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, L.AC
Contact information
Practice address
2290 E 4500 S, SUITE 110, HOLLADAY, UT 84117-4492
(801) 673-6795
Mailing address
PO BOX 520477, SLC, UT 84152-0477
(801) 673-6795
(801) 415-9525
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
74809401201
UT
Other
Enumeration date
10/18/2012
Last updated
10/18/2012
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