Individual
MELISSA ANN BREWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
650 KOMAS DR, 200, SLC, UT 84108-1215
(801) 587-3855
(801) 581-7989
Mailing address
650 KOMAS DR, 200, SLC, UT 84108-1215
(801) 587-3855
(801) 581-7989
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
60445733102
UT
Other
Enumeration date
11/29/2011
Last updated
11/29/2011
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