Brandon Shane Prince
NPI #1215460340 in West Valley City, Utah
Provider Information
- NPI Number
- 1215460340
- Entity Type
- Individual
- Name
- Brandon Shane Prince
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Massage Therapist
- Enumeration Date
- Apr 5, 2017
- Last Updated
- Apr 5, 2017
Practice Location
- Address
- 2853 S 3200 W
- City
- West Valley City
- State
- Utah
- ZIP Code
- 84119-1723
- Phone
- (423) 458-2588
Specialties & Taxonomy Codes
| Specialty |
|---|
| Massage Therapist |
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