Individual
RYAN EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
392 E 3900 S, SALT LAKE CITY, UT 84107-1615
(801) 425-2921
Mailing address
392 E 3900 S, SALT LAKE CITY, UT 84107-1615
(801) 425-2921
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/20/2023
Last updated
11/20/2023
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