NPI 1174372635

Elvira Yraid Rubio

Practitioner Peer Specialist South Salt Lake, UT

Practice location

Address: 177 W Price Ave, South Salt Lake, UT 84115-4345
Phone: (385) 707-6666
Mailing address: 267 E Vista Oaks Ln APT 203, Draper, UT 84020-5220

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X

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Registry record

NPI: 1174372635
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 May 2024
Record last updated: 16 May 2024

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.