Brenda Lee Waller
NPI #1073125373 in Salt Lake City, Utah
Provider Information
- NPI Number
- 1073125373
- Entity Type
- Individual
- Name
- Brenda Lee Waller
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pharmacy Technician
- Enumeration Date
- Aug 18, 2020
- Last Updated
- Aug 18, 2020
Practice Location
- Address
- 729 N REDWOOD RD
- City
- Salt Lake City
- State
- Utah
- ZIP Code
- 84116-1909
- Phone
- (801) 532-3795
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy Technician |
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