Anastacia Lynn Kouris
Community Health Worker in Salt Lake City, UT. Individual provider (NPI-1).
NPI number1902372014
StatusActive
Last updated in NPPESOct 16, 2018
Details
- NPI
- 1902372014
- Entity type
- Individual (NPI-1)
- Name
- Anastacia Lynn Kouris
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 16, 2018
- Last updated
- Oct 16, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | – | Yes |
Practice location
4460 S Highland DrSalt Lake City, UT 84124-3543
Phone 801-263-7190
Mailing address
4460 S Highland DrSalt Lake City, UT 84124-3543
Phone 801-263-7190
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All 1,624 Community Health Worker providers in Salt Lake City · All 24,510 providers in Salt Lake City
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