FIDIAS A PENATE

LEHI, UT
NPI1093331142
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2020-06-24
Last Update Date2020-06-24
Business Address
FIDIAS A PENATE
4735 NORTH THANKSGIVING WAY
LEHI, UT 84043
Phone number: 801-885-9595
Mailing Address
FIDIAS A PENATE
4735 NORTH THANKSGIVING WAY
LEHI, UT 84043
Phone number: 801-885-9595
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