person
Brayden Fairbourn
Student in an Organized Health Care Education/Training Program in Salt Lake City, Utah
NPI 1992404842

Brayden Fairbourn is a Student in an Organized Health Care Education/Training Program based in Salt Lake City, UT. Brayden Fairbourn practices in Salt Lake City, UT. The NPI Number for Brayden Fairbourn is 1992404842 and holds a License No. (Utah).

The current practice location address for Brayden Fairbourn is 27 S Mario Capecchi Dr, Salt Lake City, UT and can be reached out via phone at 801-581-7498.

Location: 27 S Mario Capecchi Dr, Salt Lake City, UT, 84112-5888
person
Provider Profile Details
NPI Number
1992404842
Provider Name
Brayden Fairbourn
Credential
Provider Entity Type
Individual
Gender
Male
Address
27 S Mario Capecchi Dr, Salt Lake City, UT, 84112-5888
Phone Number
801-581-7498
Fax Number
Provider Enumeration Date
03/01/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
27 S Mario Capecchi Dr
City
State
Zip
84112-5888
Phone Number
801-581-7498
Fax Number
person
Provider Business Mailing Address Details
Address
27 S Mario Capecchi Dr
City
State
Zip
84112-5888
Phone Number
801-581-7498
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
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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