LANCE TAVANE SISANA

ST GEORGE, UT
NPI1245806082
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2021-06-02
Last Update Date2021-06-02
Business Address
LANCE TAVANE SISANA
474 W 200 N # 300
ST GEORGE, UT 84770-4505
Phone number: 435-634-5600
Mailing Address
LANCE TAVANE SISANA
474 W 200 N # 300
ST GEORGE, UT 84770-4505
Phone number: 435-634-5600
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