Individual
MR. JOSE LUIS ESPARZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
461 S 400 E, SALT LAKE CITY, UT 84111-3302
(801) 539-8617
Mailing address
4427 S LAGO GRANDE DR, WEST VALLEY CITY, UT 84128-5632
(801) 967-1979
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5662869-4405
UT
Other
Enumeration date
06/22/2012
Last updated
06/22/2012
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