AMIRI DENICE GHOLSTON

SLC, UT
NPI1427602002
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2019-07-31
Last Update Date2019-07-31
Business Address
AMIRI DENICE GHOLSTON
344 E 100 S
SLC, UT 84111-1700
Phone number: 801-322-3397
Mailing Address
AMIRI DENICE GHOLSTON
344 E 100 S
SLC, UT 84111-1700
Phone number: 801-322-3397