ETHAN TANNER

LAYTON, UT
NPI1861243677
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2024-03-29
Last Update Date2024-09-20
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