Organization
UPRI EAST, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIE N NGUYEN (OWNER)
(801) 281-0555
Entity
Organization
Contact information
Practice address
2180 E 4500 S, 210, HOLLADAY, UT 84117-4434
(801) 466-7246
(801) 281-0444
Mailing address
32 W WINCHESTER ST, 100, MURRAY, UT 84107-5607
(801) 466-7246
(801) 281-0444
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
169541-1205
UT
Other
Enumeration date
03/17/2014
Last updated
03/17/2014
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