Individual
VILIAMI HAANGANA VAKAUTAKAKALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
880 N MAIN ST, RICHFIELD, UT 84701-4218
(435) 896-0668
Mailing address
620 N 700 E, RICHFIELD, UT 84701-1941
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
102563980501
UT
Other
Enumeration date
07/14/2014
Last updated
06/14/2017
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