Individual
MR. FISI MEIMUA MOLENI JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
1588 MAJOR ST, S SALT LAKE, UT 84115-1631
(801) 467-6060
Mailing address
4601 W 3245 S, WEST VALLEY, UT 84120-1523
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5529580-3502
UT
Other
Enumeration date
05/02/2006
Last updated
07/08/2007
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