ETHAN TANNER

LAYTON, UT
NPI1861243677
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2024-03-29
Last Update Date2024-03-29
Business Address
ETHAN TANNER
1384 W 425 S
LAYTON, UT 84041-3671
Phone number: 385-288-2160
Mailing Address
ETHAN TANNER
1384 W 425 S
LAYTON, UT 84041-3671
Phone number: 385-288-2160
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