BENJAMIN BLAKE CORBRIDGE

BRIGHAM CITY, UT
NPI1194382895
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2019-05-29
Last Update Date2019-05-29
Business Address
BENJAMIN BLAKE CORBRIDGE
82 S 800 W
BRIGHAM CITY, UT 84302-2400
Phone number: 435-723-8548
Mailing Address
BENJAMIN BLAKE CORBRIDGE
82 S 800 W
BRIGHAM CITY, UT 84302-2400
Phone number: 435-723-8548