TODD POULSON

OGDEN, UT
NPI1386802403
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy314000000X Skilled Nursing Facility
(Licence: UT  336746-4201)
Enumeration Date2008-05-27
Last Update Date2008-05-27
Business Address
-- TODD POULSON MSOTR/L
3430 HARRISON BLVD
OGDEN, UT 84403-1231
Phone number: 801-399-5609
Mailing Address
-- TODD POULSON MSOTR/L
1071 W 275 S
LAYTON, UT 84041-5247
Phone number: 801-593-8136