Amezquita, Crystal Tina Marie

Amezquita, Crystal Tina Marie is an sole proprietor health care provider with primary practice located at 1141 E 3900 S Ste A150 , Salt Lake City UT 84124-1215. She recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as her primary health care specialty. Amezquita, Crystal Tina Marie can be contacted via phone (888) 949-4864.

Contact Information

Primary practice address
1141 E 3900 S Ste A150 Salt Lake City UT 84124-1215
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1891274429
LBN Legal business name Amezquita, Crystal Tina Marie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 14th, 2018
Last updated Aug 14th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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