Individual
FOUA JESSICA TUIFALASAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
88 W 50 S, CENTERVILLE, UT 84014-2205
(909) 714-1336
Mailing address
PO BOX 1271, CENTERVILLE, UT 84014-5271
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/06/2018
Last updated
03/06/2018
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