Individual
AMIR NIMA FATAHIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
27 S MARIO CAPECCHI DRIVE SALT LAKE CITY UT 84113, SALT LAKE CITY, UT 84132-0001
(801) 581-7498
Mailing address
9988 S HEYTESBURY LN, SANDY, UT 84092-3710
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/25/2024
Last updated
07/25/2024
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