LUPE AUTAGAVAIA

SALT LAKE CITY, UT
NPI1619697778
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2022-08-30
Last Update Date2022-08-30
Business Address
LUPE AUTAGAVAIA
4460 S HIGHLAND DR
SALT LAKE CITY, UT 84124-3543
Phone number: 888-949-4864
Mailing Address
LUPE AUTAGAVAIA
4460 S HIGHLAND DR
SALT LAKE CITY, UT 84124-3543
Phone number: 888-949-4864