Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CRYSTAL TINA MARIE AMEZQUITA
Active Sole ProprietorCRYSTAL TINA MARIE AMEZQUITA is a Community/Behavioral Health healthcare provider located in SALT LAKE CITY, Utah. NPI 1891274429 is currently active in the NPPES registry. Verify at CMS.
Community/Behavioral Health · SALT LAKE CITY, UT
Registration Details
- NPI Number
- 1891274429
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 14, 2018 (7.9558832457688 yrs)
- Last Updated
- Aug 14, 2018
- Sole Proprietor
- Yes
Practice Information
- Address
-
1141 E 3900 S STE A150SALT LAKE CITY, UT, 841241215Browse UT providers · Browse ZIP 84124
- Phone
- 8889494864
- Primary Specialty
-
Community/Behavioral Health
251S00000X
Other Community/Behavioral Health Providers in SALT LAKE CITY, UT
| Name | Credential | NPI |
|---|---|---|
| SHAWNA JEAN GILLEN | — | 1922301183 |
| MAURI WILCOX | — | 1891108312 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.