Individual
BRANDON JOHN HOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3500 S GRAND BLVD APT 19, SPOKANE, WA 99203-2644
(360) 449-2925
Mailing address
3500 S GRAND BLVD APT 19, SPOKANE, WA 99203-2644
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86111990
WA
Other
Enumeration date
05/06/2021
Last updated
05/06/2021
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