ELIJAH D COUNTERMAN

SALT LAKE CITY, UT
NPI1093551798
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-07-02
Last Update Date2024-07-02
Business Address
ELIJAH D COUNTERMAN
27 S MARIO CAPECCHI DR
SALT LAKE CITY, UT 84112-5888
Phone number: 385-215-4577
Mailing Address
ELIJAH D COUNTERMAN
27 S MARIO CAPECCHI DR
SALT LAKE CITY, UT 84112-5888
Phone number: