Individual
FALEOMAVAEGA PORRAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2250 W CENTER ST BLDG 1, SPRINGVILLE, UT 84663-4921
(801) 834-1025
Mailing address
2250 W CENTER ST BLDG 1, SPRINGVILLE, UT 84663-4921
(801) 834-1025
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/17/2019
Last updated
09/17/2019
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