EDY MARK VICENTE

WEST JORDAN, UT
NPI1568229029
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Additional Taxonomies172V00000X Community Health Worker
Enumeration Date2024-03-01
Last Update Date2024-03-01
Business Address
EDY MARK VICENTE
1970 W 7800 S
WEST JORDAN, UT 84088-4025
Phone number: 801-916-3560
Mailing Address
EDY MARK VICENTE
1970 W 7800 S
WEST JORDAN, UT 84088-4025
Phone number: 801-916-3560