Individual
FAYE MITSUNAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-A
Contact information
Practice address
777 E 4500 S, SALT LAKE CITY, UT 84107-3067
(801) 268-6497
(801) 268-1376
Mailing address
777 E 4500 S, SALT LAKE CITY, UT 84107-3067
(801) 268-6497
(801) 268-1376
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
324350-4101
UT
Other
Enumeration date
01/02/2013
Last updated
01/02/2013
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