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Amanda Alvarez Vides

Community Health Worker in Salt Lake City, UT. Individual provider (NPI-1).

NPI number1891663449
StatusActive
Last updated in NPPESOct 27, 2025

Details

NPI
1891663449
Entity type
Individual (NPI-1)
Name
Amanda Alvarez Vides
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 27, 2025
Certification date
Oct 26, 2025
Last updated
Oct 27, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172V00000X Community Health Worker––Yes

Practice location

117 W 400 S
Salt Lake City, UT 84101-1916

Phone 801-428-4257

Mailing address

117 W 400 S
Salt Lake City, UT 84101-1916

Phone 801-428-4257

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