Individual
JESS BLISS BRINKERHOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
451 E 400 N, PRICE, UT 84501-2626
(435) 613-5249
Mailing address
112 COVECREST ST, PRICE, UT 84501-1832
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
8546972-4810
UT
Other
Enumeration date
06/21/2017
Last updated
06/21/2017
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