Individual
EMANITA CHRISTABLE MOUNGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
4133 W. PIONEER PARKWAY, STE 100, WEST VALLEY, UT 84120
(801) 250-9638
(801) 250-3204
Mailing address
13473 S FIREBACK DR, RIVERTON, UT 84065-4504
(801) 918-9985
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
9131166-4405
UT
Other
Enumeration date
07/12/2018
Last updated
12/21/2021
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