Individual
UESA LEOTALU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8783 S 2240 W, WEST JORDAN, UT 84088-9363
(801) 432-7986
Mailing address
3476 W 7625 S, WEST JORDAN, UT 84084-4510
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
11/14/2019
Last updated
11/14/2019
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