BRIAN R LILLIS

WASHINGTON, UT
NPI1477225308
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy374U00000X Home Health Aide
(Licence: UT  12435793)
Enumeration Date2021-09-29
Last Update Date2021-09-29
Business Address
BRIAN R LILLIS
470 E BULLOCH ST
WASHINGTON, UT 84780-1774
Phone number: 208-473-6880
Mailing Address
BRIAN R LILLIS
470 E BULLOCH ST
WASHINGTON, UT 84780-1774
Phone number: 208-473-6880