Individual
SIUTU OFALOTO LAUAMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
428 TENNESSEE ST, VALLEJO, CA 94590-4453
(808) 382-2713
Mailing address
428 TENNESSEE ST, VALLEJO, CA 94590-4453
(808) 382-2713
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
Primary
—
CA
Other
Enumeration date
03/17/2023
Last updated
03/18/2023
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