Individual
CRYSTAL YAZZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
344 E 100 S STE 301, SALT LAKE CITY, UT 84111-1727
(801) 322-4257
Mailing address
7050 S 1300 W APT 72, WEST JORDAN, UT 84084-7407
(385) 388-9161
Taxonomy
Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
405300000X
UT
Other
Enumeration date
03/27/2017
Last updated
03/27/2017
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