Individual
MR. RAFAEL ANGEL FLORES JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SUDC
Contact information
Practice address
1776 S MAIN ST, SALT LAKE CITY, UT 84115-1951
(801) 910-5892
Mailing address
1776 S MAIN ST, SALT LAKE CITY, UT 84115-1951
(801) 910-5892
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6955662-6006
UT
Other
Enumeration date
01/06/2016
Last updated
01/06/2016
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