Individual
JAIME E ESTRADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1275 E FAIRFAX RD, SALT LAKE CITY, UT 84103-4324
(801) 536-3600
Mailing address
1275 E FAIRFAX RD, SALT LAKE CITY, UT 84103-4324
(801) 536-3600
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8893918-1206
UT
Other
Enumeration date
02/11/2009
Last updated
09/22/2021
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