JACOB JUN TSUKAMOTO

SALT LAKE CITY, UT
NPI1083180798
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2018-10-19
Last Update Date2018-10-19
Business Address
JACOB JUN TSUKAMOTO
344 E 100 S
SALT LAKE CITY, UT 84111-1700
Phone number: 801-322-3222
Mailing Address
JACOB JUN TSUKAMOTO
344 E 100 S
SALT LAKE CITY, UT 84111-1700
Phone number: 801-322-3222