IndividualActive
Amjad Vongsengxay
NPI 1356762280 · Foster Care Agency · Brigham City, UT
Provider details
- NPI number
- 1356762280
- Entity type
- Individual
- Primary specialty
- Foster Care AgencyAgencies
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Agencies
Practice location
862 S Main St
Suite # 4
Brigham City, UT 84302-3320
Phone: (435) 723-1799
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 887
Brigham City, UT 84302-0887
Registry dates
- Enumerated
- 2013-12-19
- Last updated
- 2013-12-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.