THEADORA SAKATA

SALT LAKE CITY, UT
NPI1588922439
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: UT  8790923-1205)
Enumeration Date2012-04-29
Last Update Date2021-08-02
Business Address
THEADORA SAKATA
555 FOOTHILL DR SUITE 301
SALT LAKE CITY, UT 84112-1106
Phone number: 801-213-8846
Mailing Address
THEADORA SAKATA
375 CHIPETA WAY SUITE A
SALT LAKE CITY, UT 84108-1260
Phone number: