Adolescent Escort Service
NPI #1851711477 in Washington, Utah
Provider Information
- NPI Number
- 1851711477
- Entity Type
- Organization
- Organization Name
- Adolescent Escort Service
- Primary Specialty
- Private Vehicle
- Enumeration Date
- Apr 22, 2014
- Last Updated
- Apr 22, 2014
Practice Location
- Address
- 1865 S CANTLE CIR
- City
- Washington
- State
- Utah
- ZIP Code
- 84780-2121
- Phone
- (435) 701-6984
Authorized Official
- Name
- IAN GERRITSEN
- Title
- OWNER
- Phone
- (435) 701-6984
Specialties & Taxonomy Codes
| Specialty |
|---|
| Private Vehicle |
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