NPI 1023755311
Anthony Paco Bernaola
Practice location
- Address
- 3280 W 3500 S STE E, West Valley City, UT 84119-2668
- Phone
- (801) 979-1351
Registered specialties
Social Worker
Primary
Registry record
- NPI
- 1023755311
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 18 May 2022
- Record last updated
- 18 May 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.