Individual
BLAYR SANDE FAIMALO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
65 E 100 N, CASTLE DALE, UT 84513-4500
(435) 749-3014
Mailing address
65 E 100 N, CASTLE DALE, UT 84513-4500
(435) 749-3014
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
UT
Other
Enumeration date
04/23/2026
Last updated
04/23/2026
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