BRANDON LANE

SLC, UT
NPI1245080712
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2024-03-26
Last Update Date2024-03-26
Business Address
BRANDON LANE
1875 S REDWOOD RD
SLC, UT 84104-5112
Phone number: 801-363-9400
Mailing Address
BRANDON LANE
1875 S REDWOOD RD
SLC, UT 84104-5112
Phone number: