Individual
TUSI POLEKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9045 S 1300 E STE 200, SANDY, UT 84094-3134
(801) 666-6834
Mailing address
3476 W 7625 S, WEST JORDAN, UT 84084-4510
(385) 229-6467
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
11/14/2019
Last updated
11/14/2019
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