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Organization

SONATIX WELLNESS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TENAE DANA (OFFICE MANAGER/BILLING)
(208) 461-5716
Entity
Organization

Contact information

Practice address
487 E 1000 S STE A, PLEASANT GROVE, UT 84062-3639
(801) 893-6399
(801) 206-4175
Mailing address
487 E 1000 S STE A, PLEASANT GROVE, UT 84062-3639
(801) 893-6399
(801) 206-4175

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
363LP0808X
Psychiatric/Mental Health Nurse Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1528611092
NPI
UT
01
1649935693
NPI
UT
Enumeration date
09/12/2022
Last updated
01/19/2023
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