KYLE SCOTT JOHANSON

SALT LAKE CITY, UT
NPI1437998101
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2024-05-22
Last Update Date2024-05-22
Business Address
KYLE SCOTT JOHANSON
117 W 400 S
SALT LAKE CITY, UT 84101-1916
Phone number: 801-428-4257
Mailing Address
KYLE SCOTT JOHANSON
117 W 400 S
SALT LAKE CITY, UT 84101-1916
Phone number: 801-428-4257