Brandon Ray Fowler, LPN

NPI #1588097521 in Highland, Utah

Provider Information

NPI Number
1588097521
Entity Type
Individual
Name
Brandon Ray Fowler, LPN
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Licensed Practical Nurse
Credential
LPN
Enumeration Date
Aug 13, 2013
Last Updated
Aug 13, 2013

Practice Location

Address
9675 N 5750 W
State
Utah
ZIP Code
84003-9150
Phone
(801) 369-0003

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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