KERRIE LYN WICKERSHAM

SALT LAKE CITY, UT
NPI1144053869
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2024-08-20
Last Update Date2024-08-20
Business Address
KERRIE LYN WICKERSHAM
117 W 400 S
SALT LAKE CITY, UT 84101-1916
Phone number: 801-428-4257
Mailing Address
KERRIE LYN WICKERSHAM
117 W 400 S
SALT LAKE CITY, UT 84101-1916
Phone number: 801-428-4257