IVO KEKOA HANZA

ST GEORGE, UT
NPI1740605963
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: UT  6430990-4405)
Enumeration Date2014-02-25
Last Update Date2014-02-25
Business Address
-- IVO KEKOA HANZA APRN
1490 E FOREMASTER DR
ST GEORGE, UT 84790-4488
Phone number: 435-628-1641
Mailing Address
-- IVO KEKOA HANZA APRN
652 S 600 E APT 4
ST GEORGE, UT 84770-3762
Phone number: 435-216-6686