BRADY PAUL PETERSEN

BRIGHAM CITY, UT
NPI1154628311
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy253J00000X Foster Care Agency
Enumeration Date2011-02-23
Last Update Date2011-02-23
Business Address
Mr. BRADY PAUL PETERSEN
862 S MAIN ST #4
BRIGHAM CITY, UT 84302-3320
Phone number: 435-723-1795
Mailing Address
Mr. BRADY PAUL PETERSEN
862 S MAIN ST #4
BRIGHAM CITY, UT 84302-3320
Phone number: 435-723-1795