AMBROSE JERICHO CUISON

SALT LAKE CITY, UT
NPI1285915389
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: UT  353978-2401)
Enumeration Date2011-09-01
Last Update Date2021-12-07
Business Address
Mr. AMBROSE JERICHO CUISON
50 N MEDICAL DR
SALT LAKE CITY, UT 84132-0001
Phone number: 801-585-2119
Mailing Address
Mr. AMBROSE JERICHO CUISON
PO BOX 564
BOUNTIFUL, UT 84011-0564
Phone number: 801-721-1683