Individual
MR. UALAPA MIKA FONOTISATELE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
359 KEATING ST, HENDERSON, NV 89074-5931
(702) 998-6264
(702) 998-6270
Mailing address
359 KEATING ST, HENDERSON, NV 89074-5931
(702) 998-6264
(702) 998-6270
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1401410384
NV
Other
Enumeration date
04/19/2011
Last updated
04/19/2011
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