Individual
LEILANI PAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2655 S LAKE ERIE DR, WEST VALLEY CITY, UT 84120-7350
(385) 441-4900
Mailing address
3253 S MAPLE WAY, WEST VALLEY CITY, UT 84119-2940
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/21/2022
Last updated
11/21/2022
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