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Contact Information

CRYSTAL T AMEZQUITA
1141 E 3900 S STE A150
SALT LAKE CITY, UT84124-1215
 Phone: 888-949-4864
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
Indicates primary specialty

NPI Profile & details for CRYSTAL T AMEZQUITA · (Female)

NPI Number 1891274429
Status Active
Credentials
Entity Individual
Enumeration date 08/14/2018
Last updated 08/14/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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