LA VAISIGANO

SALT LAKE CITY, UT
NPI1174247605
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2022-09-28
Last Update Date2022-09-28
Business Address
LA VAISIGANO
4460 S HIGHLAND DR
SALT LAKE CITY, UT 84124-3543
Phone number: 888-949-4864
Mailing Address
LA VAISIGANO
4460 S HIGHLAND DR
SALT LAKE CITY, UT 84124-3543
Phone number: 888-949-4864