Individual
SOANA LATU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1202 N MAIN ST, TOOELE, UT 84074-9540
(435) 224-3049
Mailing address
1202 N MAIN ST, TOOELE, UT 84074-9540
(435) 224-3049
Taxonomy
Speciality
Code
Description
License number
State
146M00000X
Intermediate Emergency Medical Technician
Primary
—
UT
Other
Enumeration date
10/06/2021
Last updated
10/06/2021
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