DANIEL BANTA ETHINGTON

WEST JORDAN, UT
NPI1851887590
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: UT  108638114701)
Enumeration Date2018-07-05
Last Update Date2018-07-05
Business Address
DANIEL BANTA ETHINGTON LMT
9317 S TANYA AVE
WEST JORDAN, UT 84088-8529
Phone number: 801-244-3384
Mailing Address
DANIEL BANTA ETHINGTON LMT
9317 S TANYA AVE
WEST JORDAN, UT 84088-8529
Phone number: 801-244-3384
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