LARRY GREEN

BOUNTIFUL, UT
NPI1639627243
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2016-09-13
Last Update Date2016-09-13
Business Address
-- LARRY GREEN
501 W 2600 S STE 200
BOUNTIFUL, UT 84010-7785
Phone number: 435-835-4316
Mailing Address
-- LARRY GREEN
PO BOX 154
MANTI, UT 84642-0154
Phone number: 435-835-4316