Individual
LOLO LEAAETOA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
567 NICOLE WAY, TOOELE, UT 84074-9247
(801) 706-4349
Mailing address
567 NICOLE WAY, TOOELE, UT 84074-9247
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
10/12/2023
Last updated
10/12/2023
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