Individual
MS. BREANNE NALDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4336 SAGE CIR APT A, SLC, UT 84124-2489
(801) 550-0434
Mailing address
4336 SAGE CIR APT A, SLC, UT 84124-2489
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
U0313248
UT
Other
Enumeration date
06/12/2011
Last updated
06/12/2011
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