| Mana | |
|
736 W State St Apt G202 Farmington UT 84025-4453 | |
| (801) 410-3804 | |
| Not Available |
| Full Name | Mana |
|---|---|
| Speciality | Clinic/center |
| Location | 736 W State St Apt G202, Farmington, Utah |
| Authorized Official Name and Position | Neil Atkinson (PRINCIPLE) |
| Authorized Official Contact | 8014103804 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mana 736 W State St Apt G202 Farmington UT 84025-4453 Ph: (801) 410-3804 | Mana 736 W State St Apt G202 Farmington UT 84025-4453 Ph: (801) 410-3804 |
| NPI Number | 1790350411 |
|---|---|
| Provider Enumeration Date | 05/25/2021 |
| Last Update Date | 05/25/2021 |
| Certification Date | 05/25/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790350411 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
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