NATHAN DANIEL WISNIEWSKI

SALT LAKE CITY, UT
NPI1841016201
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2024-12-02
Last Update Date2024-12-02
Business Address
NATHAN DANIEL WISNIEWSKI
117 W 400 S
SALT LAKE CITY, UT 84101-1916
Phone number: 801-428-4257
Mailing Address
NATHAN DANIEL WISNIEWSKI
117 W 400 S
SALT LAKE CITY, UT 84101-1916
Phone number: 801-428-4257