AVENUES TO HEALTH, LLC
Ambulatory Health at 700, Salt Lake City, UT

License number
Utah 20071866
Category
Ambulatory Health
Type
Primary Care
Owner
Name: MRS. SUSANA KINIKINI MOUNGA C-FNP
Title: PRESIDENT
Phone: (801) 521-2220
Address
Address
223 W 700 S SUITE D, Salt Lake City, UT 84101
National Provider ID: 1316117344
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about AVENUES TO HEALTH, LLC at bizstanding.com

AVENUES TO HEALTH, LLC

223 W 700 S STE D, Salt Lake City, UT 84101

Status:
Inactive
Registration:
Oct 17, 2007
State ID:
6786407-0160
Business type:
LLC - Domestic
Agent:
Susana Mounga,163 D St, Salt Lake City, UT 84103 (Physical)

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