Individual
MOEUNSARAMA MEAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
392 W 400 N, APT B, BOUNTIFUL, UT 84010-6966
(808) 741-9331
Mailing address
392 W 400 N, APT B, BOUNTIFUL, UT 84010-6966
(808) 741-9331
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/03/2014
Last updated
06/03/2014
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