Individual
JACQUELINE MANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5280 S COMMERCE DR STE E2705280, MURRAY, UT 84107-7929
(435) 462-2781
Mailing address
5280 S COMMERCE DR STE E2705280, MURRAY, UT 84107-7929
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
UT
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
07/15/2022
Last updated
07/15/2022
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