Dalton Lee Braathen
Dalton Lee Braathen is a Student in an Organized Health Care Education/Training Program in Salt Lake City, Utah. Works from 2 locations. Licensed in Utah.
- Licensed in
- UT
- In the registry since
- 2022
Practice location Address checks out
30 N 1900 ESalt Lake City, UT 84132-0006
Phone: (801) 581-7498
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 30 N 1900 E, Salt Lake City, UT 84132-0002 — (801) 581-7498
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X (UT) |
|---|
Record details
| NPI number | 1184363384 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 3, 2022 |
| Last updated in NPPES | June 3, 2022 |
| Certification date | June 3, 2022 |
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