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Maake Mau Hautau

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

NPI number1164041679
StatusActive
Last updated in NPPESApr 14, 2020

Details

NPI
1164041679
Entity type
Individual (NPI-1)
Name
Maake Mau Hautau
Sex
Male
Sole proprietor
Yes
Enumeration date
Apr 14, 2020
Certification date
Apr 14, 2020
Last updated
Apr 14, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172V00000X Community Health Worker––Yes

Practice location

9045 S 1300 E Ste 200
Sandy, UT 84094-3134

Phone 801-666-6834

Mailing address

9045 S 1300 E Ste 200
Sandy, UT 84094-3134

Phone 801-666-6834

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