Individual
TUPOU LUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1250 W HARRIS AVE, SALT LAKE CITY, UT 84104-2985
(385) 549-2965
Mailing address
1250 W HARRIS AVE, SALT LAKE CITY, UT 84104-2985
(385) 549-2965
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/26/2023
Last updated
06/26/2023
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