Individual
DALTON LEE BRAATHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
30 N 1900 E, SALT LAKE CITY, UT 84132-0006
(801) 581-7498
Mailing address
6159 W HERITAGE HILL DR, HERRIMAN, UT 84096-7254
(425) 343-4825
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
UT
Other
Enumeration date
06/03/2022
Last updated
06/03/2022
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