NPI 1487071973

Raphael Nutakor

Practitioner Home Modifications Contractor Midvale, UT

Practice location

Address: 1042 E Fort Union Blvd # 123, Midvale, UT 84047
Phone: (775) 287-5508
Mailing address: 48 W Inglenook Drive #720, Midvale, UT 84047

Registered specialties

Home Modifications Contractor Primary

Other Service Providers Taxonomy 171WH0202X Licence 52162 (UT)

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Registry record

NPI: 1487071973
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Mar 2014
Record last updated: 24 Mar 2014

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.