Individual
BROOKE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
567 W 2600 S STE 110, BOUNTIFUL, UT 84010-7781
(407) 982-4876
(407) 650-2754
Mailing address
462 PITFORD DR, CENTERVILLE, UT 84014-2189
(407) 982-4876
(407) 650-2754
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
—
Other
Enumeration date
10/19/2022
Last updated
04/17/2024
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