Individual
TERESA DE LA GARZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 646-4955
Mailing address
188 WALLACE WAY, TOOELE, UT 84074-1599
(801) 502-4529
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
126421023102
UT
Other
Enumeration date
02/19/2025
Last updated
02/19/2025
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