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1417246448
ROOSEVELT WASHINGTON
CLEARFIELD, UT
NPI
1417246448
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2011-03-30
Last Update Date
2011-03-30
Business Address
-- ROOSEVELT WASHINGTON
370 S 500 E STE 135
CLEARFIELD, UT 84015-4001
Phone number: 801-815-3443
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Mailing Address
-- ROOSEVELT WASHINGTON
387 E 450 S
CLEARFIELD, UT 84015-1734
Phone number: 801-773-9149
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