Individual
VLANCA MICHELLE CANTU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA STUDENT
Contact information
Practice address
375 S CHIPETA WAY STE A, SALT LAKE CITY, UT 84108-1261
(801) 585-0187
Mailing address
375 S CHIPETA WAY STE A, SALT LAKE CITY, UT 84108-1261
(801) 585-0187
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/18/2013
Last updated
06/16/2020
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