Individual
FAFAGU ULUGALU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1305 S 700 W, OGDEN, UT 84404-5436
(801) 430-7469
Mailing address
1305 S 700 W, OGDEN, UT 84404-5436
(801) 430-7469
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
10/02/2024
Last updated
10/02/2024
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