DAVID GUADARRAMA

LOGAN, UT
NPI1144863374
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2019-10-21
Last Update Date2019-10-21
Business Address
DAVID GUADARRAMA
90 E 200 N
LOGAN, UT 84321-4034
Phone number: 435-752-0750
Mailing Address
DAVID GUADARRAMA
787 S 980 W
LOGAN, UT 84321-5442
Phone number: 435-512-5831