Individual provider · Type 1 NPI

Brisa K. Ayub

Student in an Organized Health Care Education/Training Program · Salt Lake City, UT

NPI number 1275805103 Active

Practice location

447 Bearcat Dr
Salt Lake City, UT 84115-2519

Call (801) 355-2846 Map

Mailing address

1840 S 1300 E
Salt Lake City, UT 84105-3617

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1275805103

Brisa K. Ayub's National Provider Identifier is 1275805103, issued on Feb 8, 2012. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Salt Lake City, UT. The record was last updated on Feb 8, 2012.