Individual
VICTOR TUA'ONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8265 W 2700 S, MAGNA, UT 84044-1323
(801) 250-9762
(801) 250-8483
Mailing address
PO BOX 69, MAGNA, UT 84044-0069
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
7125665-3501
UT
Other
Enumeration date
08/10/2011
Last updated
08/10/2011
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