RICHARD DAVALOS

SALT LAKE CITY, UT
NPI1669233250
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2024-01-19
Last Update Date2024-01-19
Business Address
RICHARD DAVALOS
344 E 100 S
SALT LAKE CITY, UT 84111-1700
Phone number: 801-428-4257
Mailing Address
RICHARD DAVALOS
344 E 100 S
SALT LAKE CITY, UT 84111-1700
Phone number: 801-428-4257