SHAE FETTERS

PROVO, UT
NPI1982803417
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy246ZS0410X Specialist/Technologist, Other, Surgical Technologist
Enumeration Date2007-07-14
Last Update Date2007-07-14
Business Address
-- SHAE FETTERS CFA
3214 N UNIVERSITY AVE # 123
PROVO, UT 84604-4405
Phone number: 801-319-0371
Mailing Address
-- SHAE FETTERS CFA
3214 N UNIVERSITY AVE # 123
PROVO, UT 84604-4405
Phone number: 801-319-0371