Individual
RICHARD BOMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 SUGAR ST, LAYTON, UT 84041-4616
(435) 512-9506
Mailing address
500 SUGAR ST, LAYTON, UT 84041-4616
(435) 512-9506
Taxonomy
Speciality
Code
Description
License number
State
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
Primary
289231-1701
UT
Other
Enumeration date
12/03/2019
Last updated
12/03/2019
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