COLEMAN MOSS

SALT LAKE CITY, UT
NPI1518431477
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2019-01-14
Last Update Date2019-01-14
Business Address
COLEMAN MOSS
780 S GUARDSMAN WAY
SALT LAKE CITY, UT 84108-1374
Phone number: 801-581-0194
Mailing Address
COLEMAN MOSS
780 S GUARDSMAN WAY
SALT LAKE CITY, UT 84108-1374
Phone number: