PACE ANTHONY COLLESTER

SALT LAKE CITY, UT
NPI1871986539
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2015-03-05
Last Update Date2015-03-05
Business Address
-- PACE ANTHONY COLLESTER
344 EAST 100 SOUTH, STE 301
SALT LAKE CITY, UT 84111
Phone number: 801-322-4257
Mailing Address
-- PACE ANTHONY COLLESTER
7210 EAST 700 NORTH
HUNTSVILLE, UT 84317
Phone number: 203-807-3510