TANNER BANHAM

SALT LAKE CITY, UT
NPI1245165554
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2026-06-17
Last Update Date2026-06-17
Business Address
TANNER BANHAM
27 S MARIO CAPECCHI DR
SALT LAKE CITY, UT 84112-5888
Phone number: 801-581-7201
Mailing Address
TANNER BANHAM
27 S MARIO CAPECCHI DR
SALT LAKE CITY, UT 84112-5888
Phone number: