Provider Demographics
NPI:1720828007
Name:MUHOZA, LEVIS
Entity type:Individual
Prefix:
First Name:LEVIS
Middle Name:
Last Name:MUHOZA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4947 W DUNCAN MEADOW LN
Mailing Address - Street 2:
Mailing Address - City:RIVERTON
Mailing Address - State:UT
Mailing Address - Zip Code:84096-7274
Mailing Address - Country:US
Mailing Address - Phone:801-888-9949
Mailing Address - Fax:
Practice Address - Street 1:4947 W DUNCAN MEADOW LN
Practice Address - Street 2:
Practice Address - City:RIVERTON
Practice Address - State:UT
Practice Address - Zip Code:84096-7274
Practice Address - Country:US
Practice Address - Phone:801-888-9949
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-25
Last Update Date:2024-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT8AKS2347C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle