Individual
YOTA GERONTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 FOOTHILL DR, SALT LAKE CITY, UT 84148-0001
(801) 582-1565
Mailing address
1858 E 7325 S, SALT LAKE CITY, UT 84121-4877
(801) 230-1067
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
273743-1701
UT
Other
Enumeration date
05/11/2022
Last updated
05/11/2022
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