Individual
CLAUDIA TERESA DE LA CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
117 W 400 S, SALT LAKE CITY, UT 84101-1916
(801) 428-4257
Mailing address
117 W 400 S, SALT LAKE CITY, UT 84101-1916
(801) 428-4257
(385) 227-8362
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10862091-1206
UT
Other
Enumeration date
05/03/2022
Last updated
04/11/2025
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