Most Relevant Information
Provider Data
| NPI Number: | 1003367871 |
| Provider Name: | SHANELL TUITELE |
| Entity Type: | Individual |
| Taxonomy Code: | 1041S0200X |
| Specialty: | Social Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/17/2016 |
| Last Updated: | 10/17/2016 |
Provider Practice Location
777 W 200 S
PROVO
UT
846014061
Practice Location Phone/Fax
| Phone: | 2538837490 |
| Fax: |
Provider Mailing Location
777 W 200 S
PROVO
UT
846014061
Provider Mailing Phone/Fax
| Phone: | 2538837490 |
| Fax: |