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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CARISSA MORA-RODRIGUEZ

Active Organization

CARISSA MORA-RODRIGUEZ is a Exclusive Provider Organization organization located in SALT LAKE CITY, Utah. NPI 1629504642 is currently active in the NPPES registry. Verify at CMS.

Exclusive Provider Organization · SALT LAKE CITY, UT

Registration Details

NPI Number
1629504642
Provider Type
Organization
NPI Issued
May 11, 2017 (9.2787310878938 yrs)
Last Updated
May 11, 2017

Practice Information

Address
415 E WOODLAKE LN
#152
SALT LAKE CITY, UT, 841071990
Browse UT providers · Browse ZIP 84107
Phone
8015568064
Primary Specialty
Exclusive Provider Organization
302F00000X

Other Exclusive Provider Organization Organizations in SALT LAKE CITY, UT

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.