MCRAE GOODMAN

PLEASANT GROVE, UT
NPI1174898332
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2012-03-20
Last Update Date2012-03-20
Business Address
-- MCRAE GOODMAN
1344 W STATE RD
PLEASANT GROVE, UT 84062-5022
Phone number: 801-785-8870
Mailing Address
-- MCRAE GOODMAN
1344 W STATE RD
PLEASANT GROVE, UT 84062-5022
Phone number: 801-785-8870