DERRICK KIRK WHITE

PROVO, UT
NPI1922380237
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2011-09-13
Last Update Date2011-09-13
Business Address
Mr. DERRICK KIRK WHITE
1161 E 300 N
PROVO, UT 84606-3539
Phone number: 801-852-4468
Mailing Address
Mr. DERRICK KIRK WHITE
750 NORTH 200 WEST SUITE 300
PROVO, UT 84601
Phone number: 801-373-4760