Most Relevant Information
Provider Data
| NPI Number: | 1003535725 |
| Provider Name: | ANETONE LAITITI |
| Entity Type: | Individual |
| Taxonomy Code: | 172V00000X |
| Specialty: | Community Health Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/25/2022 |
| Last Updated: | 08/25/2022 |
Provider Practice Location
9045 S 1300 E STE 200
SANDY
UT
840943134
Practice Location Phone/Fax
| Phone: | 8016666834 |
| Fax: | 8019040272 |
Provider Mailing Location
9045 S 1300 E STE 200
SANDY
UT
840943134
Provider Mailing Phone/Fax
| Phone: | 8016666834 |
| Fax: | 8019040272 |