ETHAN TANNER

LAYTON, UT
NPI1861243677
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy175T00000X Peer Specialist
Additional Taxonomies172V00000X Community Health Worker
171M00000X Case Manager/Care Coordinator
Enumeration Date2024-03-29
Last Update Date2025-05-06
Business Address
ETHAN TANNER
934 S MAIN ST
LAYTON, UT 84041-7135
Phone number: 801-336-1845
Mailing Address
ETHAN TANNER
934 S MAIN ST
LAYTON, UT 84041-7135
Phone number: 801-773-7060