SearchUtahHome Modifications Contractor

Raphael Nutakor

NPI 1487071973 · on the registry since 2014 · sole proprietor

Practice

Address
1042 E Fort Union Blvd # 123
Midvale, UT 84047
Phone
(775) 287-5508

Registry record

Primary taxonomy
Home Modifications Contractor
171WH0202X
Licence states on file
UT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-03-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah