Brisa K Ayub

NPI 1275805103 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1275805103
Gender Female
Enumeration Date 02/08/2012
Last Updated 02/08/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
447 BEARCAT DR
SALT LAKE CITY UT, 84115-2519, US
Phone (801) 355-2846
Fax
Business Location
1840 S 1300 E
SALT LAKE CITY UT, 84105-3617, US
Phone
Fax
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Brisa K Ayub NPI is 1275805103, taxonomy code is 390200000X Brisa K Ayub physically located at 447 Bearcat Dr, Salt Lake City UT, 84115-2519. NPI Number Brisa K Ayub has the Individual type.

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1275805103 NPI number is provided on an as is basis without warranty of any kind. 1275805103 is maintained by the National Plan & Provider Enumeration System. The contents of Brisa K Ayub are for informational purposes only.