Crystal Tina Marie Amezquita
NPI #1891274429 in Salt Lake City, Utah
Provider Information
- NPI Number
- 1891274429
- Entity Type
- Individual
- Name
- Crystal Tina Marie Amezquita
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Aug 14, 2018
- Last Updated
- Aug 14, 2018
Practice Location
- Address
- 1141 E 3900 S STE A150
- City
- Salt Lake City
- State
- Utah
- ZIP Code
- 84124-1215
- Phone
- (888) 949-4864
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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