Cabulagan, Ke'Ala Mary

Cabulagan, Ke'Ala Mary is an individual health care provider with primary practice located at 750 N Freedom Blvd , Provo UT 84601-1677. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Cabulagan, Ke'Ala Mary can be contacted via phone (801) 373-4760.

Contact Information

Primary practice address
750 N Freedom Blvd Provo UT 84601-1677
Phone: (801) 373-4760
Fax: (801) 373-0639
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 1041S0200X

Profile Details

NPI number 1437579869
LBN Legal business name Cabulagan, Ke'Ala Mary
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2014
Last updated Jun 8th, 2020 - about 6 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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