Individual
MS. YI QU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
3660 FOWLER AVE, OGDEN, UT 84403-1914
(510) 882-7164
Mailing address
3660 FOWLER AVE, OGDEN, UT 84403-1914
(510) 882-7164
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
360918-3102
UT
Other
Enumeration date
02/15/2007
Last updated
07/08/2007
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