AUVALE SIUFANUA-BLACKHAM

Case Manager/Care Coordinator

Active Individual
NPI: 1194172452

Practice Address

3809 W 6200 S
Taylorsville, UT 84129

Phone: (888) 949-4864

Specialties

Specialty Code Primary License
Case Manager/Care Coordinator 171M00000X Yes F24-112702 (UT)

Frequently Asked Questions

NPI 1194172452 is the National Provider Identifier for AUVALE SIUFANUA-BLACKHAM, a Case Manager/Care Coordinator provider located in Taylorsville, UT. This NPI was enumerated on May 17, 2016.
AUVALE SIUFANUA-BLACKHAM practices at 3809 W 6200 S, Taylorsville, UT 84129.

Quick Facts

NPI
1194172452
Type
Individual
Enumerated
May 17, 2016
Last Updated
May 15, 2024

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