Individual
MR. TIMOTHY VAN LAYMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3742 W 4000 S, WEST HAVEN, UT 84401-9630
(435) 723-1799
(435) 723-2521
Mailing address
1733 N 350 W, SUNSET, UT 84015-2713
(801) 866-6460
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
—
—
Other
Enumeration date
05/06/2011
Last updated
09/19/2011
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