CODY FACKRELL

SALT LAKE CITY, UT
NPI1649718362
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Enumeration Date2017-02-01
Last Update Date2017-02-01
Business Address
-- CODY FACKRELL
4460 S HIGHLAND DR
SALT LAKE CITY, UT 84124-3543
Phone number: 888-949-4864
Mailing Address
-- CODY FACKRELL
4460 S HIGHLAND DR
SALT LAKE CITY, UT 84124-3543
Phone number: 888-949-4864