Individual
ATUNAISA O HAVILI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3023 N BRONZEWOOD CIR, ERDA, UT 84074-3302
(435) 255-7650
Mailing address
3023 N BRONZEWOOD CIR, ERDA, UT 84074-3302
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
11/18/2019
Last updated
12/23/2019
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