KODY BRYCE OWEN

SALT LAKE CITY, UT
NPI1033000203
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2025-07-14
Last Update Date2025-07-14
Business Address
KODY BRYCE OWEN
117 W 400 S
SALT LAKE CITY, UT 84101-1916
Phone number: 801-428-4257
Mailing Address
KODY BRYCE OWEN
117 W 400 S
SALT LAKE CITY, UT 84101-1916
Phone number: 801-428-4257