Most Relevant Information
Provider Data
| NPI Number: | 1003671702 |
| Provider Name: | ANGEL HURTADO |
| Entity Type: | Individual |
| Taxonomy Code: | 172V00000X |
| Specialty: | Community Health Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/21/2024 |
| Last Updated: | 02/21/2024 |
Provider Practice Location
237 26TH ST
OGDEN
UT
844013105
Practice Location Phone/Fax
| Phone: | 8016253700 |
| Fax: |
Provider Mailing Location
237 26TH ST
OGDEN
UT
844013105
Provider Mailing Phone/Fax
| Phone: | 8016253700 |
| Fax: |