Individual
LELA HEZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9071 S 1300 W STE 205, WEST JORDAN, UT 84088-6725
(805) 423-2822
Mailing address
9071 S 1300 W STE 205, WEST JORDAN, UT 84088-6725
(805) 423-2822
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
13933640-1204
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2021
Last updated
09/19/2024
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