Individual
SIUTA SONNY FAAOOTOA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
551 NORTH MAIN STREET, SPRINGVILLE, UT 84663
(801) 420-4696
Mailing address
551 NORTH MAIN STREET, SPRINGVILLE, UT 84663
(801) 420-4696
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/17/2010
Last updated
11/17/2010
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