Individual
KIANI TAUSALA RUIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3280 W 3500 S STE E, WEST VALLEY CITY, UT 84119-2668
(801) 979-1351
Mailing address
6471 W NEWTON FARM DR, WEST VALLEY CITY, UT 84128-2408
(949) 400-5751
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
UT
Other
Enumeration date
10/21/2024
Last updated
10/21/2024
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