LARA MIE FUNAKOSHI

SLC, UT
NPI1619734357
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy174H00000X Health Educator
(Licence: UT  230)
Enumeration Date2024-02-29
Last Update Date2024-02-29
Business Address
LARA MIE FUNAKOSHI CCSH
375 S CHIPETA WAY STE A200
SLC, UT 84108-1261
Phone number: 801-587-3345
Mailing Address
LARA MIE FUNAKOSHI CCSH
836 E GATEWOOD DR
SANDY, UT 84094-3009
Phone number: 801-643-4504