Individual
MILLENNIUM AD ALOFIPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
443 S 600 E, SALT LAKE CITY, UT 84102-2708
(385) 770-8064
Mailing address
4460 S HIGHLAND DR, SALT LAKE CITY, UT 84124-3543
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/25/2018
Last updated
09/25/2018
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