BRUCE LEE
Substance Abuse Rehabilitation Facility
Active
Individual
NPI: 1134518210
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | Yes | - |
Frequently Asked Questions
NPI 1134518210 is the National Provider Identifier for BRUCE LEE, a Substance Abuse Rehabilitation Facility provider located in Salt Lake City, UT. This NPI was enumerated on January 13, 2015.
BRUCE LEE practices at 344 E 100 S STE 301, Salt Lake City, UT 84111.
Quick Facts
- NPI
- 1134518210
- Type
- Individual
- Enumerated
- Jan 13, 2015
- Last Updated
- Jan 13, 2015
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