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Isaac Ansasakyi

Community Health Worker in Taylorsville, UT. Individual provider (NPI-1).

NPI number1114672425
StatusActive
Last updated in NPPESOct 6, 2023

Details

NPI
1114672425
Entity type
Individual (NPI-1)
Name
Isaac Ansasakyi
Sex
Male
Sole proprietor
No
Enumeration date
Feb 15, 2022
Certification date
Oct 6, 2023
Last updated
Oct 6, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172V00000X Community Health Worker––Yes
106S00000X Behavior Technician––
171M00000X Case Manager/Care Coordinator––

Practice location

3809 W 6200 S
Taylorsville, UT 84129-3725

Phone 801-963-4360

Mailing address

4460 S Highland Dr Ste 120
Salt Lake City, UT 84124-3550

Phone 888-949-4864

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Other Community Health Worker providers in Taylorsville, UT

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