Balderrama, Gabriella

Balderrama, Gabriella is an individual health care provider with primary practice located at 7434 S State St , Midvale UT 84047-2014. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Balderrama, Gabriella can be contacted via phone (801) 456-9955.

Contact Information

Primary practice address
7434 S State St Midvale UT 84047-2014
Phone: (801) 456-9955
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X Utah

Profile Details

NPI number 1801335997
LBN Legal business name Balderrama, Gabriella
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2017
Last updated Mar 10th, 2017 - about 8 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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