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Ricky Travis Brandon
Student in an Organized Health Care Education/Training Program in Spanish Fork, Utah
NPI 1083379614

Ricky Travis Brandon is a Student in an Organized Health Care Education/Training Program based in Spanish Fork, UT. Ricky Travis Brandon practices in Spanish Fork, UT. The NPI Number for Ricky Travis Brandon is 1083379614 and holds a License No. (Utah).

The current practice location address for Ricky Travis Brandon is 2368 E 1035 S, Spanish Fork, UT and can be reached out via phone at 801-836-4035. You can also correspond with Ricky Travis Brandon through the mailing address at 2368 E 1035 S, SPANISH FORK, UT - 84660-3505 (mailing address contact number: 801-836-4035).

Location: 2368 E 1035 S, Spanish Fork, UT, 84660-3505
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083379614
Provider Name
Ricky Travis Brandon
Credential
Provider Entity Type
Individual
Gender
Male
Address
2368 E 1035 S, Spanish Fork, UT, 84660-3505
Phone Number
801-836-4035
Fax Number
Provider Enumeration Date
11/08/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2368 E 1035 S
City
Spanish Fork
State
Utah
Zip
84660-3505
Phone Number
801-836-4035
Fax Number
person
Provider Business Mailing Address Details
Address
2368 E 1035 S
City
Spanish Fork
State
Utah
Zip
84660-3505
Phone Number
801-836-4035
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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