Individual
BRAYDEN ALBERT NETELBEEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2090 E 9400 S, SANDY, UT 84093-2913
(801) 308-1007
Mailing address
2090 E 9400 S, SANDY, UT 84093-2913
(801) 308-1007
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
77318441707
UT
Other
Enumeration date
03/10/2015
Last updated
03/10/2015
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