Ricky Travis Brandon

NPI #1083379614 in Spanish Fork, Utah

Provider Information

NPI Number: 1083379614
Entity Type: Individual
Name: Ricky Travis Brandon
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Nov 8, 2021
Last Updated: Nov 8, 2021

Practice Location

Address: 2368 E 1035 S
City: Spanish Fork
State: Utah
ZIP Code: 84660-3505
Phone: (801) 836-4035

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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