DANIEL WELLOCK

PROVO, UT
NPI1174345292
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2024-10-29
Last Update Date2024-10-29
Business Address
DANIEL WELLOCK
750 N FREEDOM BLVD STE 300
PROVO, UT 84601-1690
Phone number: 801-373-4760
Mailing Address
DANIEL WELLOCK
750 N FREEDOM BLVD STE 300
PROVO, UT 84601-1690
Phone number: 801-373-4760