Individual
BERNICE AGNES MAUINATU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
195 E 840 S, OREM, UT 84058-5016
(801) 226-7696
(801) 225-7053
Mailing address
299 N 200 W, BOUNTIFUL, UT 84010-7043
(801) 815-3443
(801) 683-8962
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
10/08/2018
Last updated
10/08/2018
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