NPI 1396938908
Tavita Saelua
Practice location
- Address
- 3004 Ardennes Street Swmg(a), USA Jfkswcs, Stop a, Fort Bragg, NC 28314
- Phone
- (910) 396-7775
- Mailing address
- 3004 Ardennes St, Fort Bragg, NC 28310-9633
Registered specialties
Registry record
- NPI
- 1396938908
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 27 Aug 2007
- Record last updated
- 27 Aug 2007
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.