Individual
KADE DANIEL ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2655 S LAKE ERIE DR, WEST VALLEY, UT 84120-7350
(385) 441-4900
Mailing address
3283 W JORDAN LINE PKWY APT 330, WEST JORDAN, UT 84088-7971
(435) 630-3575
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
—
Other
Enumeration date
10/24/2022
Last updated
10/24/2022
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