Hassan Desalles

NPI 1386046076 - Substance Abuse Rehabilitation Facility - 324500000X

NPI Details
NPI 1386046076
Gender Male
Enumeration Date 09/24/2014
Last Updated 09/24/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
344 E 100 S STE 301
SALT LAKE CITY UT, 84111-1727, US
Phone (801) 322-4257
Fax
Business Location
4930 S EASTLAKE DR
MURRAY UT, 84107-5144, US
Phone (801) 759-3883
Fax
Toxanomy
Taxonomy Code 324500000X
License State
License Number
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According to our database, Hassan Desalles NPI is 1386046076, taxonomy code is 324500000X Hassan Desalles physically located at 344 E 100 S Ste 301, Salt Lake City UT, 84111-1727. NPI Number Hassan Desalles has the Individual type.

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1386046076 NPI number is provided on an as is basis without warranty of any kind. 1386046076 is maintained by the National Plan & Provider Enumeration System. The contents of Hassan Desalles are for informational purposes only.