Auvale Siufanua-Blackham
Case Manager/Care Coordinator in Taylorsville, UT. Individual provider (NPI-1).
NPI number1194172452
StatusActive
Last updated in NPPESMay 15, 2024
Details
- NPI
- 1194172452
- Entity type
- Individual (NPI-1)
- Name
- Auvale Siufanua-Blackham
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 17, 2016
- Certification date
- May 15, 2024
- Last updated
- May 15, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | F24-112702 | UT | Yes |
Practice location
3809 W 6200 STaylorsville, UT 84129-3725
Phone 888-949-4864 · Fax 801-225-7053
Mailing address
3725 W 4100 S Ste 201West Valley City, UT 84120-5427
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All 88 Case Manager/Care Coordinator providers in Taylorsville · All 3,083 providers in Taylorsville
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