Individual
TAVITA SAELUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3004 ARDENNES STREET, SWMG(A), USA JFKSWCS, STOP A, FORT BRAGG, NC 28314
(910) 396-7775
Mailing address
3004 ARDENNES ST, FORT BRAGG, NC 28310-9633
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
—
—
Other
Enumeration date
08/27/2007
Last updated
08/27/2007
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