Individual
BEN BRENT WOLSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
447 W BEARCAT DR, SOUTH SALT LAKE, UT 84115-2519
(801) 355-2846
(801) 875-4515
Mailing address
447 W BEARCAT DR, SOUTH SALT LAKE, UT 84115-2519
(801) 355-2846
(801) 875-4515
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
278311-3102
UT
Other
Enumeration date
10/25/2022
Last updated
10/25/2022
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