Daryl Ray Ezidore
Daryl Ray Ezidore is a Student in an Organized Health Care Education/Training Program in Salt Lake City, Utah. Registered with an NPI since 2015.
- In the registry since
- 2015
- Specialties on file
- 2
Practice location Address checks out
Salt Lake City, UTNo coordinates on file. Search this address in Google Maps
Specialties & licences
| Social Worker (primary) | Taxonomy 104100000X |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1902291842 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 30, 2015 |
| Last updated in NPPES | May 11, 2023 |
| Certification date | May 11, 2023 |
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