GENESIS OTHON

SALT LAKE CITY, UT
NPI1891343109
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2019-08-29
Last Update Date2019-08-29
Business Address
GENESIS OTHON
252 W BROOKLYN AVE
SALT LAKE CITY, UT 84101-3024
Phone number: 801-363-9400
Mailing Address
GENESIS OTHON
252 W BROOKLYN AVE
SALT LAKE CITY, UT 84101-3024
Phone number: