| Avenues To Health, Llc | |
|
223 W 700 S Suite D Salt Lake City UT 84101-2718 | |
| (801) 521-2220 | |
| (801) 521-2221 |
| Full Name | Avenues To Health, Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 223 W 700 S, Salt Lake City, Utah |
| Authorized Official Name and Position | Susana Kinikini Mounga (PRESIDENT) |
| Authorized Official Contact | 8015212220 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Avenues To Health, Llc 223 W 700 S Suite D Salt Lake City UT 84101-2718 Ph: (801) 521-2220 | Avenues To Health, Llc 223 W 700 S Suite D Salt Lake City UT 84101-2718 Ph: (801) 521-2220 |
| NPI Number | 1316117344 |
|---|---|
| Provider Enumeration Date | 03/05/2008 |
| Last Update Date | 03/05/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316117344 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 20071866 (Utah) | Primary |
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