DAKOTA BONE

OGDEN, UT
NPI1033636295
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101Y00000X Counselor
(Licence: UT  10877207-3502)
Additional Taxonomies171M00000X Case Manager/Care Coordinator
Enumeration Date2017-08-28
Last Update Date2020-02-06
Business Address
DAKOTA BONE
237 26TH ST
OGDEN, UT 84401-3105
Phone number: 801-648-5288
Mailing Address
DAKOTA BONE
237 26TH ST
OGDEN, UT 84401-3105
Phone number: