Individual
YEN MA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2228 W 1700 S, SYRACUSE, UT 84075-7126
(801) 775-9688
Mailing address
2217 W BENFOX CIR, TAYLORSVILLE, UT 84129-6366
(801) 512-4379
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7788181-1701
UT
Other
Enumeration date
12/05/2020
Last updated
12/05/2020
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