Ricky Travis Brandon
Ricky Travis Brandon is a Student in an Organized Health Care Education/Training Program in Spanish Fork, Utah. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
2368 E 1035 SSpanish Fork, UT 84660-3505
Phone: (801) 836-4035
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1083379614 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | November 8, 2021 |
| Last updated in NPPES | November 8, 2021 |
| Certification date | November 8, 2021 |
| Mailing address | 2368 E 1035 S, Spanish Fork, UT 84660-3505 |
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