BRANDON WILLIAM DELEEUW

SALT LAKE CITY, UT
NPI1063914117
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2018-03-05
Last Update Date2018-03-05
Business Address
BRANDON WILLIAM DELEEUW
4460 S HIGHLAND DR
SALT LAKE CITY, UT 84124-3543
Phone number: 888-949-4864
Mailing Address
BRANDON WILLIAM DELEEUW
4460 S HIGHLAND DR
SALT LAKE CITY, UT 84124-3543
Phone number: