CODIE DARYLE LARSEN

VERNAL, UT
NPI1366134611
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
(Licence: UT  F23-107880)
Additional Taxonomies172V00000X Community Health Worker
Enumeration Date2023-05-24
Last Update Date2023-10-20
Business Address
CODIE DARYLE LARSEN
1140 W 500 S STE 9
VERNAL, UT 84078-2912
Phone number: 435-789-6300
Mailing Address
CODIE DARYLE LARSEN
1140 W 500 S STE 9
VERNAL, UT 84078-2912
Phone number: 435-789-6300