Provider Demographics
NPI:1376257659
Name:VAKALAHI, AUNOFO TERESA
Entity Type:Individual
Prefix:
First Name:AUNOFO
Middle Name:TERESA
Last Name:VAKALAHI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:635 S CAMARILLA CIR
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84104-3125
Mailing Address - Country:US
Mailing Address - Phone:385-249-4655
Mailing Address - Fax:
Practice Address - Street 1:635 S CAMARILLA CIR
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84104-3125
Practice Address - Country:US
Practice Address - Phone:385-249-4655
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-11
Last Update Date:2023-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency