Upri East, LLC

NPI #1730505520 in Holladay, Utah

Provider Information

NPI Number: 1730505520
Entity Type: Organization
Organization Name: Upri East, LLC
Primary Specialty: Specialist
Enumeration Date: Mar 17, 2014
Last Updated: Mar 17, 2014

Practice Location

Address: 2180 E 4500 S
Address 2: 210
City: Holladay
State: Utah
ZIP Code: 84117-4434
Phone: (801) 466-7246

Authorized Official

Name: MRS. JENNIE N NGUYEN
Title: OWNER
Phone: (801) 281-0555

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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