Individual
ELEONORA SUSTAITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
344 E 100 S STE 301, SLC, UT 84111-1727
(801) 322-4257
Mailing address
2119 W 1630 N, CLINTON, UT 84015-5748
(385) 888-2585
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
08/30/2015
Last updated
08/30/2015
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