BRYCE ALLAN LEWIS

PROVO, UT
NPI1043040199
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: UT  UT011486901256)
Enumeration Date2024-08-05
Last Update Date2024-08-05
Business Address
BRYCE ALLAN LEWIS
1113 MERRILL HALL
PROVO, UT 84602-8337
Phone number: 801-839-5288
Mailing Address
BRYCE ALLAN LEWIS
500A KMBL
PROVO, UT 84602-4704
Phone number: 801-839-5288