BRANDON RAY FOWLER

HIGHLAND, UT
NPI1588097521
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: UT  6581184-3101)
Enumeration Date2013-08-13
Last Update Date2013-08-13
Business Address
-- BRANDON RAY FOWLER LPN
9675 N 5750 W
HIGHLAND, UT 84003-9150
Phone number: 801-369-0003
Mailing Address
-- BRANDON RAY FOWLER LPN
9675 N 5750 W
HIGHLAND, UT 84003-9150
Phone number: 801-369-0003