Whalio Doctors

NPI 1083289516

Eustolia Cordova, CPSS

Practitioner Peer Specialist South Salt Lake, UT

Practice location

Address
3269 S Main St STE 230, South Salt Lake, UT 84115-3769
Phone
(801) 935-4447

Registered specialties

Peer Specialist Primary
Other Service Providers Taxonomy 175T00000X

Registry record

NPI
1083289516
Entity type
Individual
Sex (as registered)
Female
NPI issued
26 May 2021
Record last updated
26 May 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.