Raque; Baiza

NPI #1912352550 in Slc, Utah

Provider Information

NPI Number: 1912352550
Entity Type: Individual
Name: Raque; Baiza
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Enumeration Date: May 2, 2016
Last Updated: May 2, 2016

Practice Location

Address: 532 N DEXTER ST APT 3
City: Slc
State: Utah
ZIP Code: 84116-2780
Phone: (801) 808-1389

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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