Individual
ZAKARY MICHEAL WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
712 S 200 E, BRIGHAM CITY, UT 84302-3387
(435) 723-8548
Mailing address
82 S 800 W, BRIGHAM CITY, UT 84302-2400
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/06/2018
Last updated
03/06/2018
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