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 |