Individual
MR. SIOELI FIATAU FUIMAONO
Active
Individual
MR. SIOELI FIATAU FUIMAONO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
1326
TN
363AS0400X
Surgical Physician Assistant
Primary
1326
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3060214
—
TN
01
—
4116189
BCBS
TN
Enumeration date
03/08/2006
Last updated
03/29/2017
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