Individual
SAMANTHA MIYUKI SUEOKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
987 S GENEVA RD, OREM, UT 84058-6085
(801) 863-7982
Mailing address
326 E SHAMROCK DR, MURRAY, UT 84107-3981
(801) 808-2814
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/13/2025
Last updated
05/13/2025
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