Individual
ANTENEH GEBREGZIABIHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
814 E MEADOW PINE CT, SALT LAKE CITY, UT 84106-4620
(801) 577-6090
Mailing address
814 E MEADOW PINE CT, SALT LAKE CITY, UT 84106-4620
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
—
—
Other
Enumeration date
01/14/2015
Last updated
01/14/2015
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