EZRA DANIEL FALATEA

SALT LAKE CITY, UT
NPI1982425617
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: UT  11060723-3102)
Enumeration Date2024-10-24
Last Update Date2024-10-24
Business Address
EZRA DANIEL FALATEA
117 W 400 S
SALT LAKE CITY, UT 84101-1916
Phone number: 801-428-4257
Mailing Address
EZRA DANIEL FALATEA
117 W 400 S
SALT LAKE CITY, UT 84101-1916
Phone number: 801-428-4257