NICOLAS BRYAN OLSEN

SALT LAKE CITY, UT
NPI1912446758
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies101Y00000X Counselor
Enumeration Date2017-02-13
Last Update Date2019-11-01
Business Address
NICOLAS BRYAN OLSEN
4460 S HIGHLAND DR
SALT LAKE CITY, UT 84124-3543
Phone number: 888-949-4864
Mailing Address
NICOLAS BRYAN OLSEN
4460 S HIGHLAND DR
SALT LAKE CITY, UT 84124-3543
Phone number: 888-949-4864