Individual
LARS MAHONRI MOLENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3280 W 3500 S STE E, WEST VALLEY CITY, UT 84119-2668
(801) 979-1351
Mailing address
5049 W EAGLE ROCK WAY, WEST VALLEY CITY, UT 84120-1423
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/05/2019
Last updated
02/05/2019
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