TIMOTHY HAL WORTHEN

BRIGHAM CITY, UT
NPI1053629022
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy253J00000X Foster Care Agency
Enumeration Date2010-09-23
Last Update Date2010-09-23
Business Address
-- TIMOTHY HAL WORTHEN
862 SOUTH MAIN ST.
BRIGHAM CITY, UT 84302
Phone number: 435-723-1799
Mailing Address
-- TIMOTHY HAL WORTHEN
862 SOUTH MAIN ST.
BRIGHAM CITY, UT 84302
Phone number: