Individual
LUPI FONUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14094 S GRAND VIEW PEAK CIR, RIVERTON, UT 84096-1769
(831) 238-2493
Mailing address
14094 S GRAND VIEW PEAK CIR, RIVERTON, UT 84096-1769
(831) 238-2493
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
UT
Other
Enumeration date
11/02/2023
Last updated
11/02/2023
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