Fukuda, Mckenna Jolie

Fukuda, Mckenna Jolie is an individual health care provider with primary practice located at 249 E Tabernacle St Ste 100 , Saint George UT 84770-2951. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Fukuda, Mckenna Jolie can be contacted via phone (435) 705-7574.

Contact Information

Primary practice address
249 E Tabernacle St Ste 100 Saint George UT 84770-2951
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1487227658
LBN Legal business name Fukuda, Mckenna Jolie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 23rd, 2021
Last updated Jul 23rd, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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