Individual
MRS. PUPE THERESA FAALILIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
344 E 100 S, STE, 301, SALT LAKE CITY, UT 84111-1700
(801) 322-4257
Mailing address
3763 S SHADOW GLEN LN, APT 327, SOUTH SALT LAKE, UT 84119-7437
(562) 533-4831
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
11/16/2012
Last updated
11/16/2012
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