Individual
SILIA TUPOU VAITAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
154 W 600 S UNIT 250, SALT LAKE CITY, UT 84101-2784
(385) 371-8469
Mailing address
154 W 600 S UNIT 250, SALT LAKE CITY, UT 84101-2784
(385) 371-8469
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
LIC2023-01022
UT
Other
Enumeration date
01/30/2024
Last updated
01/30/2024
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